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Hawaii rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.65 / $12.07 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.42 / $15.49 / $15.49
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.27 / $25.43 / $29.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.91 / $15.49 / $19.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $15.49 / $23.00
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $21.52 / $29.79