go back

Virginia rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $36.31 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $10.96 / $15.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $11.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $69.18 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $38.02 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $9.77 / $16.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $17.78 / $21.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $24.55 / $28.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $13.49 / $13.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $23.99 / $30.90
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $23.99 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $24.55 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $14.79 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.91 / $15.49