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Minnesota rates for HCPCS 84620

Xylose Absorption Test Blood &/Urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.14 / $12.14 / $12.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $10.91 / $12.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $34.29 / $77.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $12.91 / $12.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.71 / $46.58 / $112.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.02 / $18.88 / $24.52
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.46 / $42.59 / $88.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $14.87 / $23.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $24.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $8.75 / $27.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $10.33 / $27.49