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Montana rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.19 / $53.19 / $53.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $13.11 / $94.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.71 / $19.71 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $19.71 / $19.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.33 / $28.68 / $43.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.03 / $21.17 / $21.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.33 / $25.01 / $43.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $14.71 / $21.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $6.36 / $20.22