go back

Illinois rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $67.61 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $33.11 / $63.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $138.04 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $79.43 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $44.67 / $57.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $63.10 / $151.36
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $38.90 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $16.60 / $32.36