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Pennsylvania rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.59 / $106.05 / $163.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $31.59 / $161.07
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.85 / $128.37 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.42 / $30.42 / $30.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.35 / $50.67 / $113.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.27 / $37.45 / $56.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $23.01 / $52.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.45 / $330.45 / $330.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.15 / $106.05 / $174.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.57 / $31.98 / $161.07
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.35 / $50.70 / $129.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.27 / $37.45 / $56.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $39.00 / $39.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.90 / $39.00 / $39.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $23.40 / $58.50