go back

Virginia rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $32.47 / $147.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $12.21 / $13.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $14.71 / $71.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $7.26 / $8.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.57 / $66.58 / $99.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.28 / $38.11 / $75.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $9.81 / $16.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $18.39 / $21.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.33 / $13.34 / $13.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.22 / $24.00 / $36.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.45 / $20.70 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $20.55 / $4,071.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.69 / $14.71