go back

Iowa rates for HCPCS 84376

Sugars Mono Di&Oligos 1 Qualitataive Each Spec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $13.02 / $35.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $4.24 / $14.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $9.78 / $12.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $9.63 / $54.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $9.23 / $26.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $5.50 / $15.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $11.20 / $17.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $11.20 / $15.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $4.61 / $12.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $5.50 / $5.50