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New Jersey rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.25 / $8.31 / $34.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $4.29 / $6.58
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.00 / $126.00 / $126.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $12.27 / $25.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $6.03 / $8.52
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $3.25 / $5.50
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $3.85 / $5.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $3.77 / $3.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.30 / $8.14