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Idaho rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Facilitymedian $68 · 10th–90th $39–$1150%10%20%10th90th$68Professionalmedian $37 · 10th–90th $23–$760%20%40%10th90th$37$2.0$5.0$10.0$20.0$50.0$100.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $36.31 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $75.86 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $33.11 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $81.28 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $28.84 / $56.23
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $51.29
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $52.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $67.61 / $141.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $33.11 / $40.74
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $16.22 / $37.15