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Sugar Separation Test By Chromatography

Kentucky rates for HCPCS 84375

Separates the different sugars present in a sample so that each can be identified on its own, using a technique that spreads them out across a plate or paper according to how they travel. It is used when a person may not be digesting or handling particular sugars normally, including in the investigation of inherited disorders of sugar metabolism.

Rates data updated July 2026.

Facilitymedian $39 · 10th–90th $31$930%20%10th90th$39Professionalmedian $30 · 10th–90th $15$540%20%10th90th$30$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
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$31.62
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$31.62
Typical High
$87.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$38.90
Typical High
$40.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$16.22
Typical High
$26.92
CareSource
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$46.77
Typical High
$54.95
CareSource
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$48.98
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$57.54
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$186.21
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$38.90
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.98
Typical High
$38.90