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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
$14.71 / $29.42 / $275.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $11.92 / $14.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.23 / $19.64 / $153.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.88 / $5.88 / $17.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.44 / $20.52 / $31.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $20.02 / $21.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.71 / $17.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $14.71 / $66.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $14.71 / $17.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $12.02 / $29.06