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Wyoming rates for HCPCS 84120

Porphyrins, urine; quantitation and fractionation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.88 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $19.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $22.91 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.00 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.71 / $20.42