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Arizona rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $61.93 / $155.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.13 / $31.36 / $250.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.82 / $85.82 / $142.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.59 / $32.86 / $46.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.51 / $63.38 / $114.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.14 / $47.50 / $59.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.40 / $28.74 / $185.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $16.38 / $23.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.30 / $16.38 / $23.40