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Utah rates for HCPCS 84375

Sugars Chromatographic Tlc/Paper Chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $10.74 / $14.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $29.25 / $44.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.34 / $34.29 / $107.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.31 / $45.02 / $56.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $44.85 / $157.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.85 / $31.74 / $45.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $16.38 / $27.39