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North Dakota rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $3.85 / $9.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $3.85 / $5.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.31 / $11.08 / $12.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $6.26 / $7.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $8.25 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $6.60 / $33.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $7.26 / $33.00