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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
$10.89 / $17.64 / $1,244.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $11.03 / $13.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $13.58 / $21.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.80 / $10.19 / $19.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $15.62 / $23.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $18.39 / $22.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.62 / $8.83 / $13.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $7.36 / $14.44