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Michigan rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.97 / $13.97 / $21.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $13.97 / $13.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $16.64 / $29.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $11.03 / $14.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $16.93 / $21.17
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.97 / $13.97 / $25.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $17.64 / $20.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.18 / $16.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $9.41 / $12.76