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North Dakota rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $50.63 / $97.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $10.30 / $13.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.23 / $29.64 / $33.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $17.10 / $21.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $22.07 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $17.64 / $25.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $10.29 / $25.23