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Indiana rates for HCPCS 84375

Sugars Chromatographic Tlc/Paper Chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.98 / $44.85 / $143.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $31.98 / $37.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.81 / $35.10 / $117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.26 / $26.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $46.92 / $52.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $44.85 / $55.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.35 / $39.00 / $90.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.91 / $42.40 / $56.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $17.17 / $36.43