Urine porphyrin test

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC PROPHYRIN-24 HOUR

Payers reporting CPT 84120

Payer pricing summary

Low

Average

$73

Median

$49

High

$450

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +30 other terms	762	$19	$64	$332	516%	7–70	$0 – $8.4k
2	UnitedHealthcare fee schedule · outpatient · +33 other terms	831	$15	$20	$44	219%	2–20	$1 – $1.7k
3	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	555	$23	$39	$39	99%	1–10	$1 – $332
4	Anthem fee schedule · outpatient · +27 other terms	227	$18	$26	$27	105%	1–10	$3 – $289
5	Bcbs Al facility · other · outpatient · +4 other terms	4	$17	$18	$2	11%	1–10	$16 – $21
6	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$34	$34	—	—	1–10	$34 – $34
7	Humana fee schedule · outpatient · +26 other terms	561	$15	$37	$63	169%	—	$1 – $1.7k
8	Cigna fee schedule · outpatient · +27 other terms	531	$30	$40	$47	119%	—	$5 – $1.5k
9	WellCare fee schedule · outpatient · +19 other terms	314	$15	$17	$8	47%	—	$11 – $93
10	Molina fee schedule · outpatient · +29 other terms	303	$17	$18	$11	60%	—	$1 – $196
11	Devoted fee schedule · outpatient · +15 other terms	185	$15	$15	$0	2%	—	$14 – $17
12	Oscar fee schedule · outpatient · +17 other terms	168	$28	$31	$11	34%	—	$14 – $45
13	Cigna Healthspring fee schedule · outpatient · +8 other terms	147	$15	$15	$1	10%	—	$9 – $25
14	Kaiser fee schedule · outpatient · +18 other terms	126	$15	$18	$9	49%	—	$4 – $83
15	Ambetter facility · fee schedule · outpatient · +20 other terms	121	$26	$27	$6	23%	—	$8 – $38
16	MultiPlan fee schedule · outpatient · +18 other terms	115	$67	$97	$97	100%	—	$9 – $592
17	Aetna Better Health fee schedule · outpatient · +18 other terms	113	$13	$14	$4	29%	—	$8 – $50
18	Tricare facility · fee schedule · outpatient · +16 other terms	104	$14	$18	$29	157%	—	$7 – $236
19	Caresource fee schedule · outpatient · +16 other terms	103	$16	$27	$26	94%	—	$1 – $186
20	First Health fee schedule · outpatient · +16 other terms	75	$18	$29	$33	114%	—	$12 – $167
21	Optum fee schedule · outpatient · +19 other terms	69	$15	$32	$33	105%	—	$10 – $156
22	Highmark facility · fee schedule · outpatient · +16 other terms	67	$22	$32	$25	79%	—	$8 – $115
23	Medicaid facility · fee schedule · outpatient · +14 other terms	66	$15	$15	$3	22%	—	$6 – $35
24	Superior Healthplan fee schedule · outpatient · +6 other terms	65	$15	$80	$115	145%	—	$12 – $487
25	Amerihealth Caritas fee schedule · outpatient · +11 other terms	63	$15	$16	$4	28%	—	$2 – $26

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