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South Carolina rates for HCPCS 84120

Porphyrins Urine Quantitation & Fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.47 / $79.80 / $137.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $11.47 / $13.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.93 / $91.84 / $220.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $9.18 / $37.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.73 / $42.64 / $88.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $9.19 / $21.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.47 / $16.98 / $28.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $21.07 / $27.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $8.09 / $11.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $10.01 / $20.55