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Missouri rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.15 / $52.43 / $90.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $33.93 / $41.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $40.95 / $180.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $26.71 / $59.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.84 / $81.80 / $112.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.44 / $37.10 / $52.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.40 / $49.41 / $185.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $19.50 / $42.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.38 / $19.50 / $45.74