go back

Tennessee 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 / $7.64 / $19.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.34 / $5.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $6.11 / $7.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.65 / $11.68 / $21.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $4.13 / $7.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.57 / $70.00 / $70.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.78 / $7.69