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Oklahoma rates for HCPCS 84377

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $7.56 / $13.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.23 / $5.23 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $3.85 / $8.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $5.57 / $7.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.73 / $4.82 / $70.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.14 / $6.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.75 / $23.75 / $23.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.75 / $3.58