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Wisconsin rates for HCPCS 84375

Sugars Chromatographic Tlc/Paper Chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.80 / $58.50 / $86.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.03 / $36.65 / $46.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.85 / $101.40 / $107.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $15.60 / $156.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.76 / $95.31 / $99.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.23 / $125.31 / $192.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.02 / $98.16 / $119.34
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.46 / $18.87 / $46.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.46 / $31.98 / $185.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $23.40 / $70.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.46 / $18.87 / $46.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.01 / $93.33 / $130.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.00 / $78.00 / $185.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $13.11 / $19.07
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $5.99 / $83.05
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $23.19 / $212.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $23.40 / $72.59