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Indiana rates for HCPCS 84376

Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $8.51 / $20.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $6.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $16.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.69 / $5.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $5.50 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.89 / $11.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $5.50 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.75 / $5.50