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Sugar Separation Test By Chromatography

Minnesota rates for HCPCS 84375

Separates the different sugars present in a sample so that each can be identified on its own, using a technique that spreads them out across a plate or paper according to how they travel. It is used when a person may not be digesting or handling particular sugars normally, including in the investigation of inherited disorders of sugar metabolism.

Rates data updated July 2026.

Facilitymedian $102 · 10th–90th $39$2880%20%10th90th$102Professionalmedian $39 · 10th–90th $31$580%20%40%10th90th$39$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
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$36.31
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$67.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$134.90
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$75.86
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$123.03
Typical High
$288.40
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$23.44
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$46.77
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$38.90
Typical High
$87.10