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Kentucky rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $30.81 / $173.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.81 / $31.98 / $39.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.66 / $35.10 / $40.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $16.32 / $27.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $54.60 / $64.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.73 / $50.70 / $78.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.35 / $29.76 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $43.87 / $187.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.45 / $21.45 / $21.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.16 / $16.89 / $39.00