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Idaho rates for HCPCS 84375

Sugars Chromatographic Tlc/Paper Chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.39 / $70.39 / $101.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.30 / $76.05 / $76.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.03 / $41.32 / $152.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.01 / $45.02 / $56.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.91 / $36.65 / $79.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $39.00 / $46.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.36 / $75.66 / $140.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $66.93 / $68.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $16.38 / $40.13