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Utah rates for HCPCS 84120

Porphyrins Urine Quantitation & Fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.63 / $97.62 / $127.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.71 / $12.50 / $18.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.57 / $12.93 / $40.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $16.93 / $21.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $16.92 / $66.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $11.94 / $17.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.69 / $8.83