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Nebraska rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $62.51 / $121.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $9.71 / $94.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.95 / $58.64 / $114.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $22.35 / $24.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $21.17 / $33.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.83 / $29.53 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $8.83 / $37.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $22.52 / $46.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $30.30 / $42.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $8.83 / $29.42