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Missouri rates for HCPCS 84035

Phenylketones, qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $5.35 / $9.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.46 / $4.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $4.18 / $18.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $3.04 / $10.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $8.36 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $4.22 / $5.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.32 / $6.25 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.68 / $4.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.39 / $5.11