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Oklahoma rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $15 · 10th–90th $4$240%10%20%10th90th$15Professionalmedian $5 · 10th–90th $3$330%20%40%10th90th$5$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
$4.07 / $5.50 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $16.98 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $6.76 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $5.25 / $7.76
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $5.25 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $5.50 / $8.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $33.11 / $33.11