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Washington rates for HCPCS 84035

Phenylketones, qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $6.34 / $21.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $3.74 / $5.89
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $7.96 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $3.58 / $6.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $6.64 / $11.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $4.55 / $7.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $3.84 / $4.22
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $4.18 / $11.28
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $5.97 / $10.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $3.58 / $3.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.18 / $6.53 / $10.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $3.98 / $10.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.67 / $4.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.79 / $2.06