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California rates for HCPCS 84035

Phenylketones, qualitative

Facilitymedian $14 · 10th–90th $4$440%10%10th90th$14Professionalmedian $3 · 10th–90th $2$160%20%10th90th$3$1.0$5.0$20.0$100.0$500.0$2.0K

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
$7.24 / $20.42 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $26.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $9.33 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $3.24 / $13.49
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $30.20 / $61.66
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $4.17 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $7.08 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $4.47 / $9.12
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.98 / $6.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.98 / $9.55
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.98
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $4.68 / $12.02
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $3.55 / $9.12
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $4.07 / $6.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.69 / $3.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.40 / $7.76