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Utah rates for HCPCS 84377

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

Facilitymedian $37 · 10th–90th $6$3980%20%10th90th$37Professionalmedian $4 · 10th–90th $3$60%20%40%10th90th$4$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $37.15 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $5.75 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.80 / $10.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $24.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.68 / $4.90
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.50 / $17.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.50 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.24 / $7.76