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Vermont rates for HCPCS 84030

Assay Of Phenylalanine Blood

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $8.01 / $8.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.57 / $80.81 / $199.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.22 / $9.22 / $199.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $6.20 / $8.56
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.22 / $9.22 / $199.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $6.20 / $8.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.85 / $10.31