go back

Vermont rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $154.88 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $16.98 / $23.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $12.88 / $39.81