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New Mexico rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $8.25 / $16.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $6.60 / $35.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.90 / $36.43 / $59.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $4.50 / $5.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $3.58 / $3.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $6.20 / $10.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.03 / $3.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $6.60 / $10.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $10.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $50.08 / $50.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.30 / $33.00