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Pennsylvania rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Facilitymedian $33 · 10th–90th $12$560%10%20%10th90th$33Professionalmedian $10 · 10th–90th $8$230%50%10th90th$10$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $33.88 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $22.91
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $83.18 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $19.05 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $15.49 / $28.84
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $12.88 / $18.62
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $13.18 / $22.39
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $30.90 / $43.65
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $15.14
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $17.78 / $70.79
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $13.18 / $17.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $12.88 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $8.32 / $20.89