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Wisconsin rates for HCPCS 84030

Assay Of Phenylalanine Blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.60 / $9.24 / $12.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $5.23 / $21.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.83 / $14.30 / $15.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $2.72 / $22.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $14.93 / $15.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.32 / $17.89 / $27.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $14.81 / $16.82
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $4.90 / $6.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $5.17 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $5.50 / $18.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $10.78 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $4.90 / $6.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $13.46 / $76.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.00 / $11.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $3.59 / $5.49
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.71 / $11.71 / $131.33
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.91 / $30.03 / $131.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $4.40 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $5.50 / $33.00