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South Carolina rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $8.71 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $7.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.34 / $2.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $37.15 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.31 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $14.13 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $3.47 / $7.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $6.31 / $12.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $5.50 / $6.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $4.07 / $33.11