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Texas rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.12 / $27.46 / $80.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $11.18 / $17.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $8.83 / $8.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $48.54 / $88.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $7.80 / $13.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $14.71 / $14.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.28 / $32.31 / $74.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $10.65 / $24.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.28 / $88.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.77 / $14.71 / $19.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.76 / $14.71 / $19.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.77 / $14.71 / $36.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $11.33 / $21.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.63 / $15.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $7.26 / $14.71