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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
$11.77 / $39.78 / $142.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $13.24 / $21.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $10.22 / $10.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.12 / $35.47 / $293.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $11.59 / $34.72
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.10 / $85.00 / $189.06
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $13.03 / $70.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $19.30 / $49.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $17.76 / $25.90
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $14.71 / $23.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.77 / $14.71 / $32.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.28 / $88.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $8.82 / $8.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.20 / $17.60 / $45.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.74 / $14.71 / $29.42
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.63 / $51.63 / $51.63
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.77 / $14.71 / $20.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.75 / $26.73