go back

Texas rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Facilitymedian $71 · 10th–90th $28$1860%10%10th90th$71Professionalmedian $29 · 10th–90th $14$430%10%20%10th90th$29$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $70.79 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.84 / $42.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $112.20 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $47.86 / $52.48
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $38.90 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $72.44 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $19.95 / $56.23
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $38.90 / $72.44
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $33.11 / $57.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $33.11 / $33.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $38.90 / $100.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $15.14 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $38.90 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $16.22 / $27.54
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $20.42 / $38.90