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Wisconsin rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Facilitymedian $32 · 10th–90th $13$870%10%10th90th$32Professionalmedian $13 · 10th–90th $7$580%10%10th90th$13$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $33.11 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.88 / $16.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $39.81 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $58.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $47.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.38 / $45.71
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $32.36 / $117.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.30 / $33.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $33.11 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $41.69
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $23.99 / $41.69
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $37.15 / $128.82
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.55 / $14.45
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $54.95
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $13.18 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $12.02 / $33.11