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Illinois rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $28.18 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.88 / $23.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $38.90 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $10.23 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $33.11 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $16.98 / $22.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $29.51 / $194.98
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $14.79 / $29.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $11.22 / $19.05