go back

North Carolina rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $19 · 10th–90th $5$830%10%10th90th$19Professionalmedian $4 · 10th–90th $3$70%20%10th90th$4$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $38.02 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $7.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $16.98 / $24.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.55 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $11.48 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $4.47 / $8.32
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $10.23 / $16.98
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $5.01 / $10.72
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.47 / $5.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $5.50 / $9.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.89 / $13.49
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $100.00