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Indiana rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Facilitymedian $13 · 10th–90th $13–$390%20%40%90th$13Professionalmedian $10 · 10th–90th $6–$140%20%40%10th90th$10$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $19.95 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $14.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.89 / $12.02
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $12.88 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.13 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $12.88 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.76 / $14.45