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Washington rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.83 / $31.68 / $79.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $13.11 / $13.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.45 / $33.83 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $13.24 / $25.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $23.71 / $43.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $19.20 / $29.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $14.19 / $15.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $15.45 / $35.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $22.07 / $40.45
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $13.24 / $13.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.92 / $24.27 / $40.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $14.71 / $39.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $6.62 / $16.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.62 / $6.62 / $7.62