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Michigan rates for HCPCS 84376

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.25 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $6.31 / $10.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.17 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.17 / $7.76
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.25 / $9.55
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.61 / $9.77
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.27 / $6.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $5.50 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.47 / $4.79