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Maryland rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $17.78 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.88 / $18.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $11.75 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $10.23 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $11.22 / $51.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $16.22 / $28.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $9.55 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $8.91 / $19.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $14.45 / $21.88