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Washington rates for HCPCS 84377

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.17 / $12.53 / $39.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $5.17 / $11.76
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.78 / $11.00 / $70.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $4.95 / $10.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.81 / $9.97 / $16.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $7.02 / $11.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $4.24 / $5.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.78 / $12.14
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $8.25 / $15.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $4.95 / $4.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.33 / $9.08 / $15.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $5.50 / $15.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $5.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $2.85