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New Jersey rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $15 · 10th–90th $7$600%10%10th90th$15Professionalmedian $5 · 10th–90th $4$150%20%10th90th$5$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$7.08 / $15.14 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $12.30 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $7.08 / $15.49
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.75 / $6.17
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $5.01 / $6.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $5.50 / $11.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.31 / $7.94