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Texas rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.76 / $24.10 / $64.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $9.68 / $15.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.84 / $9.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $12.91 / $13.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $26.07 / $59.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $8.84 / $20.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.91 / $81.54 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.83 / $12.91 / $16.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.23 / $12.91 / $14.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.83 / $12.91 / $30.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $9.21 / $17.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $6.83 / $9.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $5.85 / $12.91