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Indiana rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.06 / $14.71 / $54.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $12.06 / $13.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.62 / $14.01 / $44.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $7.26 / $10.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $17.64 / $19.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $16.92 / $20.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.76 / $14.71 / $37.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $16.93 / $32.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $14.71 / $127.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.83 / $16.17