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Vermont rates for HCPCS 84035

Phenylketones, qualitative

Facilitymedian $28 · 10th–90th $1–$660%20%10th90th$28Professionalmedian $6 · 10th–90th $3–$60%50%10th90th$6$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $4.79 / $5.75
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $4.68 / $10.00