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Pennsylvania rates for HCPCS 84120

Porphyrins Urine Quantitation & Fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.50 / $55.30 / $73.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $12.82 / $13.34
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.38 / $82.31 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.47 / $11.47 / $11.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.67 / $19.59 / $48.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $16.93 / $25.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $11.77 / $19.92
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.09 / $47.24 / $106.57
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $8.83 / $12.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.75 / $43.75 / $103.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $13.14 / $60.75
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.85 / $22.34 / $48.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $16.93 / $25.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $14.71 / $14.71
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $14.71 / $17.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.63 / $8.63 / $8.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.62 / $9.41 / $25.60