Thin-layer chromatography test for sugars

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC N GLYCAN CDT SUGARS QUAL

Payers reporting CPT 84375

Payer pricing summary

Low

$16

Average

$86

Median

$52

High

$555

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	643	$39	$40	$21	52%	—	$2 – $351
2	Aetna fee schedule · outpatient · +21 other terms	609	$42	$108	$421	389%	—	$0 – $8.4k
3	Humana fee schedule · outpatient · +20 other terms	436	$40	$77	$84	110%	—	$7 – $422
4	Cigna fee schedule · outpatient · +18 other terms	424	$73	$90	$60	67%	—	$5 – $393
5	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	397	$43	$70	$52	75%	—	$1 – $443
6	WellCare fee schedule · outpatient · +11 other terms	265	$40	$41	$8	19%	—	$21 – $122
7	Molina fee schedule · outpatient · +17 other terms	239	$43	$45	$21	46%	—	$1 – $169
8	Devoted fee schedule · outpatient · +6 other terms	194	$39	$39	$1	3%	—	$38 – $45
9	Oscar fee schedule · outpatient · +10 other terms	163	$75	$83	$28	34%	—	$27 – $119
10	Anthem fee schedule · outpatient · +15 other terms	154	$43	$59	$66	113%	—	$6 – $293
11	Cigna Healthspring fee schedule · outpatient · +5 other terms	125	$41	$39	$2	4%	—	$33 – $42
12	Ambetter fee schedule · outpatient · +11 other terms	96	$64	$57	$19	33%	—	$22 – $105
13	Kaiser fee schedule · outpatient · +10 other terms	77	$40	$51	$27	54%	—	$5 – $146
14	Aetna Better Health fee schedule · outpatient · +13 other terms	74	$35	$36	$2	6%	—	$26 – $41
15	Caresource fee schedule · outpatient · +6 other terms	60	$39	$42	$10	24%	—	$28 – $78
16	Superior Healthplan fee schedule · outpatient · +3 other terms	44	$41	$41	$2	5%	—	$33 – $62
17	Clover fee schedule · outpatient · +5 other terms	42	$40	$40	$1	2%	—	$39 – $41
18	Optum fee schedule · outpatient · +12 other terms	42	$39	$54	$23	42%	—	$38 – $112
19	Bcbs Tx fee schedule · outpatient · +2 other terms	33	$141	$149	$72	48%	—	$39 – $336
20	First Health fee schedule · outpatient · +9 other terms	33	$39	$43	$25	59%	—	$33 – $172
21	Healthcare Highways fee schedule · outpatient · +1 other terms	29	$91	$89	$13	15%	—	$50 – $95
22	Amerihealth Caritas fee schedule · outpatient · +7 other terms	27	$47	$42	$16	37%	—	$2 – $59
23	Regence facility · fee schedule · outpatient · +5 other terms	26	$41	$48	$21	44%	—	$33 – $117
24	Tricare fee schedule · outpatient · +8 other terms	22	$39	$39	$2	5%	—	$31 – $42
25	Highmark fee schedule · outpatient · +8 other terms	20	$39	$41	$19	46%	—	$18 – $135

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