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Wyoming rates for HCPCS 84375

Sugars Chromatographic Tlc/Paper Chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $39.00 / $39.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $39.00 / $39.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.63 / $33.63 / $40.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $60.00 / $125.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.16 / $78.16 / $78.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $45.02 / $56.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.32 / $16.38 / $28.86