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Massachusetts rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.01 / $35.96 / $72.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $14.01 / $16.77
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.42 / $30.53 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $14.71 / $35.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.72 / $40.96 / $71.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.83 / $13.83 / $18.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.28 / $21.87 / $50.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $16.26 / $24.86
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.13 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $21.00 / $24.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $20.39 / $54.77
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.23 / $17.32 / $19.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.53 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $9.86 / $31.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $11.36 / $28.04