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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
$10.96 / $16.22 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $33.88 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $12.59 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $14.79 / $21.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $14.79 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.51 / $19.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $14.79 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.32 / $12.59