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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
$14.13 / $14.13 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $20.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $16.60 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.96 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $16.98 / $21.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $48.98
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $17.78 / $26.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $11.48 / $17.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $14.79 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $12.02 / $12.88