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Idaho rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.11 / $34.11 / $94.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $28.68 / $28.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $15.58 / $57.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.97 / $16.93 / $21.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.83 / $25.69 / $30.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.71 / $17.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.07 / $33.10 / $54.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.50 / $25.03 / $25.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.75 / $24.22