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Washington rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $12 · 10th–90th $5$680%10%10th90th$12Professionalmedian $5 · 10th–90th $3$80%20%10th90th$5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $21.88 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $8.71
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $8.13 / $10.96
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.90 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $12.30 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $5.89 / $8.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.79 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $11.22
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $9.55 / $15.14
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $6.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $8.32 / $14.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.90 / $5.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $6.61 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.24 / $11.22
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.82 / $10.00