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Indiana rates for HCPCS 84035

Phenylketones, qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $4.58 / $14.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.26 / $3.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $3.58 / $11.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.81 / $3.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $4.78 / $5.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.58 / $5.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $3.98 / $9.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $4.54 / $9.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.43 / $4.07