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New York rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.97 / $21.30 / $36.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.22 / $10.68 / $12.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $12.91 / $33.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $7.41 / $26.74
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.75 / $12.91 / $12.91
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.42 / $12.91 / $12.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $26.15 / $118.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.89 / $13.15 / $62.23
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.60 / $18.07 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.90 / $7.75 / $23.63
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $12.91 / $12.91
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $12.91 / $15.52
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $31.50 / $160.97
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $15.21 / $25.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $7.35 / $18.96
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.85 / $14.85 / $41.82
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $13.40 / $16.64