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Utah rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $78.59 / $103.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $10.68 / $15.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $11.35 / $35.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $14.87 / $18.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $14.85 / $53.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $10.58 / $14.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $5.42 / $7.75