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North Carolina rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $18.23 / $82.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $4.75 / $5.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.64 / $22.93 / $22.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $3.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $5.83 / $14.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $5.86 / $7.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $4.98 / $10.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $7.88 / $10.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $5.50 / $50.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $3.85 / $7.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.07 / $60.00 / $100.00