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Washington rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.42 / $17.13 / $121.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $5.17 / $8.76
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.78 / $11.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $5.01 / $10.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.81 / $11.28 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $7.02 / $11.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $5.31 / $5.84
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.78 / $12.14
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $8.25 / $15.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $4.95 / $4.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.33 / $9.08 / $15.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $5.50 / $15.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $5.23 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $6.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $2.85