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Oregon rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $10.23 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.01 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $14.45 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $5.50 / $10.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $11.48 / $13.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $7.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.61 / $9.77
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $10.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $7.59 / $18.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.61 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $16.60 / $22.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.01 / $6.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $6.61 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.16 / $7.94