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Ohio rates for HCPCS 84035

Phenylketones, qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $5.62 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $6.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $4.17 / $7.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.34 / $5.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.75 / $4.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.57 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.34 / $5.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $4.07 / $13.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.34 / $6.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.31 / $4.90
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $4.17 / $9.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $2.57 / $3.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $2.14 / $4.79