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Montana rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Facilitymedian $52 · 10th–90th $35–$1170%10%20%10th90th$52Professionalmedian $37 · 10th–90th $27–$2570%20%10th90th$37$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
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $36.31 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $66.07 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $44.67 / $56.23
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $48.98 / $117.49
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $48.98 / $117.49
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $66.07 / $223.87
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $16.22 / $27.54