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Illinois rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Facilitymedian $68 · 10th–90th $39–$1170%5%10%10th90th$68Professionalmedian $33 · 10th–90th $18–$720%10%10th90th$33$2.0$10.0$50.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $67.61 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $33.11 / $63.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $138.04 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $83.18 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $41.69 / $57.54
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $63.10 / $151.36
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $38.90 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.60 / $30.90