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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
$53.70 / $53.70 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.88 / $53.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $51.29 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $25.12 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $16.98 / $21.38
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $20.89 / $45.71
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $20.89 / $45.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $25.12 / $83.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.31 / $20.42