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Ohio rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.77 / $30.75 / $101.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $11.77 / $13.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $10.22 / $22.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.99 / $16.18 / $26.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $7.26 / $15.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.03 / $14.71 / $19.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.50 / $19.12 / $19.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.56 / $15.14 / $94.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $11.80 / $21.42
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.56 / $15.14 / $94.71
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $9.56 / $19.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $12.13 / $17.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.85 / $20.55