go back

Hawaii rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.14 / $13.75 / $17.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.58 / $17.64 / $17.64
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.94 / $31.57 / $36.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $17.64 / $22.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $17.64 / $28.56
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $26.72 / $36.99