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New York rates for HCPCS 84035

Phenylketones, qualitative

Facilitymedian $8 · 10th–90th $4$120%10%20%10th90th$8Professionalmedian $3 · 10th–90th $2$70%20%10th90th$3$1.0$10.0$100.0$1.0K$10.0K

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
$3.98 / $7.59 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $10.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.04 / $8.91
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.98 / $3.98
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.98 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $9.77 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $5.62 / $19.05
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $5.13 / $14.45
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.82 / $7.76
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.98 / $4.90
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $7.59 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $4.79 / $6.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $3.02 / $8.91
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $4.57 / $12.30
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.17 / $13.49