go back

Washington rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $32.36 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.88 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $30.90 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $16.98 / $29.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $12.88 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $32.36
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $25.70 / $43.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $17.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $21.88 / $40.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $13.18 / $14.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $17.78 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.32 / $17.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $26.30