go back

Montana rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $83.01 / $83.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.72 / $25.17 / $38.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $18.59 / $18.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.21 / $21.95 / $38.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $11.84 / $18.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $5.42 / $16.29