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Mississippi rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $10.00 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $10.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $7.76 / $11.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $4.27 / $7.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $5.25 / $7.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $4.27 / $33.11