go back

New York rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.38 / $27.36 / $42.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $12.50 / $14.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $14.71 / $38.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.09 / $8.82 / $31.04
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.83 / $14.71 / $14.71
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $14.71 / $14.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.28 / $29.67 / $135.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $16.44 / $93.66
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.60 / $21.80 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $8.83 / $26.92
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $14.71 / $14.71
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $14.71 / $19.52
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $35.75 / $196.36
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $17.37 / $31.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.83 / $21.61
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.92 / $16.92 / $54.17
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $16.52 / $25.48