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Michigan rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Facilitymedian $37 · 10th–90th $37–$680%50%90th$37Professionalmedian $33 · 10th–90th $14–$460%20%10th90th$33$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
$37.15 / $37.15 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $35.48 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $44.67 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $38.90 / $56.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $37.15 / $67.61
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $30.90 / $50.12
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $15.49 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $38.90 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.03 / $26.30