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New Hampshire rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.13 / $13.54 / $65.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $6.14 / $6.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.05 / $10.65 / $24.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $3.57 / $4.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.57 / $28.05 / $37.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.49 / $7.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $9.77 / $20.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.30 / $4.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.78 / $9.51