go back

Oklahoma rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $16.29 / $30.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $9.55 / $10.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.19 / $9.02 / $19.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.76 / $11.93 / $18.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.74 / $10.97 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $6.84 / $16.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.19 / $51.19 / $73.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $6.46 / $8.39