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Indiana rates for HCPCS 84376

Sugars Mono Di&Oligos 1 Qualitataive Each Spec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $5.50 / $20.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $4.76 / $5.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $4.96 / $16.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.72 / $4.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $6.60 / $7.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.33 / $7.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $5.50 / $14.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $5.25 / $7.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $5.50 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.57 / $5.50