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Oklahoma rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $20.22 / $35.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $12.82 / $13.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.74 / $31.89 / $46.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.97 / $13.97 / $14.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.56 / $10.28 / $24.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.48 / $14.84 / $21.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $13.34 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.41 / $18.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.57 / $63.57 / $63.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $7.36 / $9.56