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Hawaii rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.18 / $36.47 / $46.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.51 / $46.80 / $46.80
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.77 / $42.08 / $49.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $46.80 / $58.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $46.80 / $58.50
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $43.00 / $65.44