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Rhode Island rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $16.60 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $24.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.76 / $11.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.09 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $13.18 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.27 / $7.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $5.25 / $10.96