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Ohio rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $10 · 10th–90th $5$360%5%10%10th90th$10Professionalmedian $4 · 10th–90th $3$150%20%10th90th$4$2.0$10.0$50.0$200.0

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
$5.01 / $11.22 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $35.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.75 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.39 / $7.08
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $6.31
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $7.08 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $5.50 / $10.47
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $6.92 / $123.03
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $5.50 / $10.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.90 / $6.76
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.75 / $11.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $5.50 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.55 / $33.11