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Pennsylvania rates for HCPCS 84377

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $19.00 / $24.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.68 / $5.28
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.77 / $36.06 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.62 / $7.33 / $18.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $6.20 / $9.73
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $4.40 / $7.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.60 / $27.72 / $113.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.67 / $15.63 / $24.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $4.79 / $22.72
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $8.35 / $18.47
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $6.20 / $9.73
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.50 / $7.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.41 / $9.65