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Sugar Separation Test By Chromatography

Nevada 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 $62 · 10th–90th $30$2090%10%10th90th$62Professionalmedian $30 · 10th–90th $15$450%20%10th90th$30$0.2$1.0$5.0$20.0$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
$30.20
Median
$74.13
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$30.20
Typical High
$46.77
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$33.11
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$23.44
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$45.71
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$17.78
Typical High
$56.23
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.19
Median
$38.90
Typical High
$63.10
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Select Health
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Select Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$44.67
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$27.54
Typical High
$42.66