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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
$15.14 / $81.28 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.00 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $11.22 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $14.79 / $22.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $45.71 / $63.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.96 / $11.48
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $12.88 / $40.74
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $12.59 / $19.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $6.46 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $7.08 / $16.22