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New Jersey rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.16 / $22.90 / $71.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.22 / $9.75 / $14.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $28.15 / $59.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $9.75 / $18.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $7.62 / $12.91
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.03 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $9.03 / $10.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $7.54 / $16.55