go back

South Carolina rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $13 · 10th–90th $4$540%10%10th90th$13Professionalmedian $4 · 10th–90th $4$130%50%90th$4$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$3.89 / $8.71 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $37.15 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.31 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $25.12 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.63 / $7.76
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $6.31 / $12.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $5.50 / $5.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $4.07 / $33.11