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New York rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $10 · 10th–90th $5$180%20%10th90th$10Professionalmedian $4 · 10th–90th $3$140%20%10th90th$4$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
$5.50 / $10.47 / $17.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $14.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $14.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.82 / $12.88
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $5.50 / $5.50
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.50 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $12.02 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $8.32 / $38.02
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $6.31 / $15.14
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.89 / $10.72
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.50 / $7.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $14.45 / $104.71
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $10.47 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $6.61 / $10.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $4.27 / $14.79
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $5.50 / $13.49
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $5.75 / $17.78