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Sugar Separation Test By Chromatography

Wyoming rates for HCPCS 84375

Separates the different sugars present in a sample so that each can be identified on its own, using a technique that spreads them out across a plate or paper according to how they travel. It is used when a person may not be digesting or handling particular sugars normally, including in the investigation of inherited disorders of sugar metabolism.

Rates data updated July 2026.

Facilitymedian $39 · 10th–90th $24$780%20%10th90th$39Professionalmedian $49 · 10th–90th $39$1260%20%10th90th$49$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$40.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$60.26
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$13.49
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.22
Typical High
$28.84