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Nebraska rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.57 / $83.31 / $160.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $25.74 / $250.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.46 / $63.23 / $123.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.64 / $59.28 / $63.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.01 / $56.27 / $88.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.40 / $39.03 / $185.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $23.40 / $54.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.01 / $54.60 / $99.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.93 / $53.21 / $101.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $23.40 / $54.97