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New York rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $29.51 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $22.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $33.11
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $14.79 / $14.79
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $14.79 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $31.62 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $21.38 / $97.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $19.05 / $51.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $10.23 / $28.84
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $14.79 / $23.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $69.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $27.54 / $50,118.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $13.18 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.91 / $22.39
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $14.79 / $35.48
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $15.49 / $47.86