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Wisconsin rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $33.11 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.02 / $16.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $39.81 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $58.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $47.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $21.38 / $45.71
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $32.36 / $117.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $13.80 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.30 / $33.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $33.11 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $37.15 / $128.82
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $9.55 / $14.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $54.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $13.18 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $12.02 / $36.31