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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
$14.79 / $22.91 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.02 / $14.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $14.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $14.79 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $31.62 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $14.79 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $9.33 / $16.22