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Pennsylvania rates for HCPCS 84035

Phenylketones, qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $10.82 / $16.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.26 / $16.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $23.95 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $5.31 / $13.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $4.54 / $6.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $2.35 / $5.39
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.94 / $32.94 / $32.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $10.82 / $16.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $3.38 / $16.44
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $5.56 / $13.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $4.54 / $6.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.98 / $5.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.07 / $3.07 / $6.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.72 / $6.93