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Wisconsin rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Facilitymedian $59 · 10th–90th $23–$1230%10%20%10th90th$59Professionalmedian $31 · 10th–90th $15–$1150%10%10th90th$31$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
$45.71 / $87.10 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $30.90 / $45.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $104.71 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $114.82
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $125.89 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $56.23 / $123.03
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $37.15 / $50.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $35.48 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $23.44 / $60.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $32.36 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $46.77 / $60.26
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $39.81 / $109.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $91.20 / $128.82
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $186.21
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $13.18 / $19.05
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $83.18
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $30.90 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $23.44 / $58.88