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Maryland rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $28.86 / $29.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.09 / $27.30 / $31.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.11 / $25.20 / $50.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.46 / $20.83 / $56.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $46.80 / $58.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $17.55 / $25.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.21 / $19.50 / $31.01