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Michigan rates for HCPCS 84620

Xylose Absorption Test Blood &/Urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $12.26 / $19.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.59 / $12.26 / $12.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.55 / $14.60 / $25.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $9.68 / $13.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $14.87 / $18.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.65 / $12.26 / $22.53
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $15.49 / $18.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.62 / $10.69 / $14.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $8.26 / $10.28