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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
$16.60 / $44.67 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.96 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $28.18 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $9.55 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $54.95 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.47 / $21.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $25.70 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.91 / $43.65