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Tennessee rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $20.41 / $51.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $11.77 / $13.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $7.36 / $7.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $16.35 / $20.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.75 / $31.39 / $56.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $11.31 / $21.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.30 / $88.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $10.91 / $20.55