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Massachusetts rates for HCPCS 84620

Xylose Absorption Test Blood &/Urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.28 / $29.31 / $54.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $11.28 / $20.27
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.81 / $28.32 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $12.91 / $31.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.09 / $33.59 / $58.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.14 / $12.14 / $15.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $17.62 / $40.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $13.10 / $19.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $18.67 / $21.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.91 / $17.89 / $44.09
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.32 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $7.75 / $25.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $7.75 / $25.01