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Maryland rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Facilitymedian $16 · 10th–90th $13–$500%20%10th90th$16Professionalmedian $31 · 10th–90th $14–$410%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $30.90 / $40.74
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $30.90 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $25.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $25.12 / $69.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $42.66 / $58.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $16.22 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $17.38 / $26.92
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $26.92 / $58.88