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South Carolina rates for HCPCS 84030

Assay Of Phenylalanine Blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $4.29 / $26.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.40 / $268.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $37.61 / $64.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.00 / $14.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $15.97 / $37.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $4.23 / $7.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $6.35 / $10.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $7.88 / $10.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.03 / $4.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $4.01 / $33.00