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Hawaii rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $14.45 / $17.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $17.78
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $32.36 / $36.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $17.78 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $20.42 / $28.84
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $26.30 / $37.15