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Sugar Separation Test By Chromatography

Mississippi 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 $39 · 10th–90th $25$710%20%40%10th90th$39Professionalmedian $42 · 10th–90th $16$790%10%20%10th90th$42$2.0$5.0$10.0$20.0$50.0$100.0

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
$38.90
Median
$70.79
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$44.67
Typical High
$79.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$28.18
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$20.89
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$35.48
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$11.48
Typical High
$23.44