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Tennessee rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $7.64 / $40.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $4.34 / $5.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $6.11 / $7.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.81 / $11.68 / $21.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $4.61 / $8.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.09 / $60.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $2.75 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $4.49 / $33.00