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North Carolina rates for HCPCS 84035

Phenylketones, qualitative

Facilitymedian $5 · 10th–90th $3$130%10%20%10th90th$5Professionalmedian $3 · 10th–90th $2$40%50%10th90th$3$2.0$5.0$10.0$20.0$50.0$100.0

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
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $13.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $15.85 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.57 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $8.13 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.63 / $5.89
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $16.98
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.31 / $7.08
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $4.47 / $5.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $4.17 / $6.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.57 / $5.13
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $100.00