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Minnesota rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.83 / $13.83 / $97.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $13.11 / $13.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $34.29 / $77.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.77 / $14.71 / $14.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.67 / $53.75 / $129.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.10 / $21.50 / $28.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.38 / $49.14 / $101.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $16.93 / $26.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $29.80 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $11.29 / $31.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $10.29 / $31.33