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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
$10.96 / $27.54 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $17.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $9.12 / $22.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $50.12 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.13 / $14.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $32.36 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $10.47 / $24.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $14.79 / $27.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $13.18 / $19.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.30 / $12.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $14.79 / $42.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $10.72 / $24.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $9.77 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.71 / $19.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $14.79