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Nebraska rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $21 · 10th–90th $4$690%10%10th90th$21Professionalmedian $6 · 10th–90th $3$360%10%10th90th$6$2.0$5.0$10.0$20.0$50.0$100.0

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
$10.96 / $22.39 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.03 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $25.12 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.51 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $10.23 / $12.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $10.96 / $104.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.47 / $33.11
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $11.22
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $3.31 / $7.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $4.47 / $33.11