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Idaho rates for HCPCS 84620

Xylose Absorption Test Blood &/Urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.31 / $23.31 / $33.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $25.17 / $25.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $13.68 / $50.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $14.87 / $18.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.14 / $20.69 / $26.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.91 / $12.91 / $15.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $29.05 / $47.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.97 / $22.12 / $22.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $7.05 / $19.50