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Missouri rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.23 / $17.35 / $29.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.97 / $11.23 / $13.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $13.56 / $59.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $10.00 / $31.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.63 / $27.07 / $65.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $13.00 / $18.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.74 / $19.02 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $8.77 / $14.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $8.77 / $25.13