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Montana rates for HCPCS 84035

Phenylketones, qualitative

Facilitymedian $6 · 10th–90th $4$120%20%10th90th$6Professionalmedian $3 · 10th–90th $2$140%20%40%10th90th$3$2.0$5.0$10.0$20.0

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
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $26.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $6.76 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $4.57 / $5.75
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $5.37 / $12.02
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.37 / $12.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $6.76 / $22.91
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $5.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.09 / $5.13