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Vermont rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $81 · 10th–90th $5–$3020%10%20%10th90th$81Professionalmedian $8 · 10th–90th $4–$150%50%10th90th$8$2.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $81.28 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $7.41 / $9.33
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $1.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $6.46 / $33.11