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Sugar Separation Test By Chromatography

Alabama rates for HCPCS 84375

Separates the different sugars present in a sample so that each can be identified on its own, using a technique that spreads them out across a plate or paper according to how they travel. It is used when a person may not be digesting or handling particular sugars normally, including in the investigation of inherited disorders of sugar metabolism.

Rates data updated July 2026.

Facilitymedian $45 · 10th–90th $33$660%20%10th90th$45Professionalmedian $33 · 10th–90th $7$450%20%10th90th$33$2.0$10.0$50.0$200.0$1.0K

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
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$44.67
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$33.11
Typical High
$44.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$52.48
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$19.95
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$33.11
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$17.38
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$35.48
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$27.54