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Pennsylvania rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Facilitymedian $100 · 10th–90th $33$1700%10%20%10th90th$100Professionalmedian $31 · 10th–90th $15$600%20%40%10th90th$31$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $100.00 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $30.90 / $70.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $138.04 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $53.70 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $33.88 / $58.88
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $56.23
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $28.84 / $67.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $54.95 / $131.83
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $30.90 / $43.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $25.70 / $38.90
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $25.70 / $38.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $38.90 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $23.44 / $48.98