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New Mexico rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $41.69 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $14.79 / $22.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $15.14 / $20.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $18.20 / $29.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $11.75 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $7.08 / $7.76