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California rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Facilitymedian $48 · 10th–90th $14$1480%5%10th90th$48Professionalmedian $14 · 10th–90th $9$580%10%10th90th$14$5.0$20.0$100.0$500.0$2.0K

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
$16.98 / $63.10 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $14.13 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $33.88 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $12.88 / $48.98
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $91.20 / $234.42
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $16.60 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $25.70 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $16.98 / $37.15
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $14.79 / $23.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $14.79 / $33.11
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $17.78
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $17.78 / $45.71
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $13.49 / $37.15
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $15.14 / $25.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $10.00 / $14.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $8.91 / $30.20