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Pennsylvania rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $14 · 10th–90th $5$360%10%20%10th90th$14Professionalmedian $4 · 10th–90th $3$100%50%10th90th$4$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
$5.89 / $14.79 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $10.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $38.90 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $8.51 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $6.17 / $10.00
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $5.50 / $7.94
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.17 / $9.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $13.80 / $13.80
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $8.51 / $18.62
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $6.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $6.31 / $8.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.31 / $8.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $5.50 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $4.07 / $13.18