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Arizona rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $40.74 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.75 / $66.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $26.92 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $12.30 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $14.45 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $17.78 / $22.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $13.49 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.71 / $19.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $14.79 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.71 / $13.49