go back

Maine rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $12.91 / $32.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.46 / $10.46 / $12.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.49 / $17.23 / $119.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $5.16 / $13.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.95 / $16.41 / $27.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $16.12 / $18.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.91 / $12.91 / $15.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $12.91 / $32.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.46 / $10.46 / $12.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $9.68 / $23.40