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Missouri rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Facilitymedian $18 · 10th–90th $12–$300%10%20%10th90th$18Professionalmedian $11 · 10th–90th $6–$250%10%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
$12.02 / $21.88 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.96 / $21.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $10.23 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $23.44 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $24.55 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $12.30 / $30.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $22.39 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.76 / $15.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $12.88 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.76 / $15.49