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Virginia 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 / $12.88 / $33.11
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 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.69 / $4.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $25.70 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $14.13 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.63 / $6.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.61 / $8.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $9.12 / $10.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $4.79 / $5.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.62 / $11.48
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $7.76 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $7.59 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $5.50 / $6.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.31 / $5.75