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Ohio rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $11.50 / $35.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $4.40 / $14.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $6.05 / $9.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $2.72 / $5.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $5.50 / $7.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $7.15 / $7.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $5.67 / $12.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $5.55 / $9.26
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $6.15 / $33.47
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $5.50 / $9.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.54 / $6.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $5.50 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $4.30 / $33.00