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Ohio rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.20 / $78.00 / $120.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $31.20 / $43.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.44 / $42.90 / $69.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $15.60 / $39.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.76 / $39.00 / $52.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $50.70 / $52.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.89 / $40.15 / $82.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $20.36 / $56.27
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.89 / $40.15 / $133.09
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $18.36 / $26.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $32.17 / $46.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $17.17 / $46.80