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Washington, DC rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $52.57 / $102.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $11.03 / $11.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.77 / $64.31 / $147.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.90 / $24.86 / $53.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $16.93 / $21.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.90 / $29.90 / $29.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.63 / $8.63 / $8.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $9.02 / $13.39