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Maine rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $66.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $138.04 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $8.91 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $20.89 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $16.98 / $21.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.79 / $17.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $75.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.79 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $14.79 / $30.20