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Virginia rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.19 / $24.50 / $48.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $10.72 / $11.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $12.91 / $62.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $5.85 / $7.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.09 / $53.62 / $80.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $30.16 / $62.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $7.98 / $14.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $16.14 / $19.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.17 / $10.74 / $11.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $17.92 / $30.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.42 / $16.94 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.21 / $16.85 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $7.26 / $12.41