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Sugar Separation Test By Chromatography

Florida 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 $54 · 10th–90th $23$1580%10%10th90th$54Professionalmedian $15 · 10th–90th $7$320%10%20%10th90th$15$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$28.18
Median
$53.70
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.59
Typical High
$31.62
AvMed
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$38.90
Typical High
$45.71
AvMed
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$38.90
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$25.12
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$27.54
Typical High
$69.18
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$72.44
Typical High
$72.44
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$23.44
Typical High
$30.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$6.46
Typical High
$7.94
United
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$23.99
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$15.85
Typical High
$33.11
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$20.42
Typical High
$38.90