go back

Pennsylvania rates for HCPCS 84376

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $16.22 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $8.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $38.90 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $8.51 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $6.17 / $9.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $5.13 / $7.94
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $6.17 / $9.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $19.95 / $31.62
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.98 / $5.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $15.85 / $38.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $19.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $6.31 / $14.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.89 / $14.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $5.50 / $6.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.55 / $9.55