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Texas rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $15 · 10th–90th $5$680%5%10%10th90th$15Professionalmedian $4 · 10th–90th $3$110%10%20%10th90th$4$2.0$10.0$50.0$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
$4.17 / $23.44 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $7.94
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.75 / $5.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $15.49 / $31.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.31 / $5.50
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $8.32 / $31.62
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $6.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $12.30 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $7.59 / $60.26
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $5.50 / $54.95
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $10.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.57 / $4.57
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $5.50 / $16.60
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $6.92 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $5.50 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $33.11 / $33.11
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.82 / $5.50