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New York rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $9.63 / $17.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $4.68 / $5.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $14.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.32 / $12.41
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $5.50 / $5.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $5.50 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $11.31 / $56.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $7.74 / $36.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $7.18 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.30 / $10.07
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.50 / $7.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.79 / $13.79 / $104.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $13.63 / $74.63
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $6.48 / $11.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $3.77 / $50.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.30 / $9.26
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.32 / $6.32 / $20.27
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.95 / $7.31