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Pennsylvania rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.46 / $35.10 / $54.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.07 / $10.61 / $12.39
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.72 / $77.55 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.07 / $10.07 / $10.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.48 / $16.85 / $42.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $14.87 / $20.73
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $10.33 / $17.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.97 / $35.10 / $54.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $10.74 / $53.32
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $18.00 / $42.38
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $14.87 / $20.73
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $12.91 / $12.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $12.91 / $16.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $7.78 / $22.46