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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
$12.88 / $24.55 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $12.88 / $24.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $12.30 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $30.20 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $27.54 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $15.14 / $21.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $30.20 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $9.33 / $18.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $14.79 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.91 / $19.05