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Missouri rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.80 / $19.78 / $96.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $12.80 / $14.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $15.45 / $67.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $12.13 / $39.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.46 / $30.85 / $81.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $15.10 / $21.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.24 / $23.62 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $10.90 / $18.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.83 / $20.55