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Maine rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Facilitymedian $13 · 10th–90th $13$1100%50%90th$13Professionalmedian $11 · 10th–90th $8$160%20%10th90th$11$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 / $12.88 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $17.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $109.65 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $7.41 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $16.98 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $16.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $12.88 / $15.49
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $12.88 / $23.99