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South Dakota rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $10 · 10th–90th $5$2510%20%40%10th90th$10Professionalmedian $5 · 10th–90th $3$140%20%10th90th$5$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
$5.01 / $6.31 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $10.23 / $12.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $8.51 / $20.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.89 / $33.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.88 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $5.50 / $33.11
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50