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New Hampshire rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.85 / $43.23 / $90.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.28 / $13.50 / $13.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.24 / $24.99 / $58.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $8.39 / $9.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.45 / $60.53 / $79.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $8.52 / $18.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.52 / $22.94 / $45.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $7.75 / $9.93
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $11.89 / $15.13