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Michigan rates for HCPCS 84375

Sugars Chromatographic Tlc/Paper Chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.04 / $37.04 / $57.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.98 / $37.04 / $37.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.64 / $44.11 / $77.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $29.25 / $39.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.40 / $45.02 / $56.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.39 / $37.04 / $68.08
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.39 / $33.54 / $46.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $6.07 / $23.40