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Oklahoma rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $5.50 / $13.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $4.07 / $5.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.41 / $16.66 / $24.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.23 / $5.23 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $3.85 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $5.57 / $7.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.98 / $4.98 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $33.00 / $33.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $3.78 / $17.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $33.00 / $33.00