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Iowa rates for HCPCS 84377

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $13.02 / $23.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $4.24 / $35.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $9.78 / $12.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $9.63 / $69.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $9.23 / $26.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $5.50 / $15.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $11.20 / $17.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $11.20 / $15.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $12.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $5.50 / $5.50