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Missouri rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Facilitymedian $51 · 10th–90th $33–$810%20%10th90th$51Professionalmedian $33 · 10th–90th $14–$520%10%10th90th$33$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $66.07 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $33.11 / $52.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $27.54 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $38.02 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $74.13 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $30.20 / $60.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $51.29 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $19.50 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $38.90 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $18.62 / $42.66