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Pennsylvania rates for HCPCS 84035

Phenylketones, qualitative

Facilitymedian $10 · 10th–90th $4$170%10%20%10th90th$10Professionalmedian $3 · 10th–90th $2$70%50%10th90th$3$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$3.72 / $10.23 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $7.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $25.70 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $5.89 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $4.68 / $8.71
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.34 / $5.75
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.07 / $6.92
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $9.55 / $13.49
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $6.46 / $6.46
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.98 / $6.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $3.98 / $4.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.69 / $6.46