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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
$9.68 / $19.36 / $38.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $15.49 / $83.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.39 / $8.39 / $8.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $14.87 / $22.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.10 / $7.10 / $7.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.55 / $15.49 / $23.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.91 / $22.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $7.13 / $7.75