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Wisconsin rates for HCPCS 84035

Phenylketones, qualitative

Facilitymedian $9 · 10th–90th $3$250%10%20%10th90th$9Professionalmedian $3 · 10th–90th $2$140%20%10th90th$3$2.0$5.0$10.0$20.0$50.0$100.0

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
$3.98 / $8.91 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $10.72 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $15.85
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $12.59 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.62 / $12.30
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $7.94 / $29.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.55 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.09 / $8.32
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $12.88 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $10.47
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.46 / $11.22
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $10.23 / $24.55
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.45 / $3.63
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $8.51
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $18.62 / $26.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $3.24 / $4.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.16 / $8.32