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Washington rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $21.88 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $12.30 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $7.08 / $11.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.79 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $10.47
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $9.55 / $16.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $6.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $8.32 / $15.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.90 / $5.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $6.61 / $6.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.16 / $11.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $10.00