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Illinois rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.10 / $25.82 / $35.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $10.68 / $16.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.00 / $27.44 / $132.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $8.91 / $9.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $30.88 / $59.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $15.69 / $19.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.56 / $22.59 / $100.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.78 / $16.78 / $16.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $7.87 / $16.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $7.75 / $13.30