go back

California rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.69 / $93.80 / $250.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.56 / $23.45 / $250.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.73 / $94.07 / $312.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.44 / $16.21 / $56.40
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.30 / $89.50 / $249.52
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.15 / $17.36 / $60.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.27 / $50.47 / $125.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $42.37 / $59.38
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.34 / $39.00 / $62.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $39.00 / $77.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.40 / $185.25 / $185.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.45 / $36.50 / $79.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $23.92 / $46.80
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.88 / $136.88 / $136.88
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $38.71 / $53.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $16.38 / $70.81