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Vermont rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $30.90 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $30.90 / $56.23
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $23.44 / $85.11