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Wyoming rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $249.84 / $249.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.43 / $9.43 / $11.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $8.55 / $18.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.17 / $11.17 / $11.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $6.20 / $7.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.18 / $11.55