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Delaware rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $16.98 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.02 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $16.98 / $27.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $9.77 / $21.88