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Indiana rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Facilitymedian $39 · 10th–90th $39$1170%20%40%90th$39Professionalmedian $31 · 10th–90th $12$430%20%10th90th$31$2.0$5.0$10.0$20.0$50.0$100.0$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 / $60.26 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $30.90 / $44.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $15.49 / $28.84
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $38.90 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $28.84 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $38.90 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $16.98 / $42.66