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Nebraska rates for HCPCS 84620

Xylose Absorption Test Blood &/Urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.13 / $50.34 / $136.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $8.52 / $83.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.95 / $58.64 / $114.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.81 / $19.62 / $21.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.51 / $18.59 / $29.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.75 / $23.73 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.75 / $30.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.51 / $24.14 / $40.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.51 / $26.33 / $34.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.75 / $25.82