go back

Wisconsin rates for HCPCS 84377

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

Facilitymedian $12 · 10th–90th $5–$350%10%20%10th90th$12Professionalmedian $5 · 10th–90th $3–$210%10%10th90th$5$2.0$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 / $12.30 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $6.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $14.79 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $21.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $17.78 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $7.76 / $16.98
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $12.02 / $43.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.90 / $70.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.57 / $12.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $19.50 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $15.85
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $9.12 / $15.49
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $13.49 / $23.44
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.63 / $5.50
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $11.75
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $4.90 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $4.37 / $12.30