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Louisiana rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.59 / $21.56 / $77.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.50 / $16.32 / $19.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $29.73 / $54.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.26 / $16.18 / $25.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $14.71 / $14.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.56 / $31.41 / $90.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $9.80 / $21.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.43 / $30.06