go back

Alaska rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.11 / $101.52 / $170.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.53 / $49.28 / $56.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.63 / $40.63 / $40.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.71 / $16.93 / $21.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $13.34 / $13.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.71 / $58.84
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.49 / $56.63 / $94.89
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $33.10 / $33.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $13.34 / $51.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $19.02 / $21.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.25 / $29.42 / $44.38