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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
$17.64 / $22.07 / $87.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.33 / $13.83 / $32.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.63 / $38.25 / $40.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $7.26 / $60.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.03 / $39.95 / $41.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.54 / $47.39 / $72.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $39.61 / $45.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.10 / $13.10 / $17.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.06 / $13.24 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $14.71 / $40.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $40.61 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.10 / $13.10 / $17.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $35.64 / $127.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.42 / $29.42 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $9.64 / $14.37
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.33 / $31.33 / $55.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.11 / $58.65 / $80.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $14.71 / $14.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $12.42 / $40.31