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New Hampshire rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $14 · 10th–90th $6$540%10%10th90th$14Professionalmedian $5 · 10th–90th $4$180%20%10th90th$5$2.0$10.0$50.0$200.0

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
$6.17 / $13.80 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $24.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $10.72 / $31.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.55 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $20.89 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.75 / $16.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $9.55 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $4.57 / $31.62