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Virginia rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $16.94 / $94.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.57 / $5.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $26.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $2.72 / $3.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $24.92 / $37.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $14.16 / $28.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $4.23 / $6.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $6.88 / $8.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.61 / $4.98 / $5.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $8.32 / $12.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $7.97 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $7.74 / $4,071.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $2.75 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.25 / $5.50