go back

Nebraska rates for HCPCS 84030

Assay Of Phenylalanine Blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $23.36 / $66.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $35.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $24.74 / $48.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $8.35 / $9.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $7.74 / $12.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $11.08 / $103.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $4.50 / $33.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $11.20 / $17.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $12.00 / $15.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $4.95 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.30 / $33.00