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New Mexico rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $22.06 / $44.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $17.64 / $94.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.47 / $97.43 / $158.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $12.03 / $13.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.56 / $9.56 / $9.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $16.93 / $27.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $8.09 / $8.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.10 / $17.64 / $28.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $14.71 / $27.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.75 / $9.02