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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
$12.88 / $50.12 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.88 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $14.79 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $54.95 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $21.38 / $28.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $50.12 / $107.15
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $28.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $29.51 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $10.23 / $30.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $14.79 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $14.79 / $32.36