go back

Delaware rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.85 / $14.85 / $14.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.72 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.39 / $8.39 / $8.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $14.87 / $22.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $7.26 / $16.55