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Alaska rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $104.71 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $13.18 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $16.98 / $21.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $66.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $58.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $56.23 / $95.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $33.11 / $33.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $14.79 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $29.51 / $44.67