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New Hampshire rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $44.86 / $102.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.01 / $16.77 / $16.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.20 / $28.48 / $66.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.88 / $9.56 / $11.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $73.81 / $99.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $10.59 / $21.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.96 / $26.14 / $53.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.83 / $14.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.42 / $17.46 / $23.67