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California rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $70.79 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.13 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $33.88 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $12.59 / $42.66
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $81.28 / $199.53
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $16.60 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $24.55 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $14.79 / $23.99
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $14.79 / $23.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $14.79 / $33.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $17.78 / $17.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $17.78 / $45.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $13.80 / $33.11
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $15.14 / $25.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $10.00 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.91 / $29.51