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Indiana rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.59 / $14.85 / $47.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $10.59 / $12.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $11.62 / $38.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $5.85 / $8.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $15.51 / $17.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.91 / $14.85 / $18.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.67 / $12.91 / $31.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $14.87 / $31.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $7.75 / $12.91