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Vermont rates for HCPCS 84620

Xylose Absorption Test Blood &/Urine

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $19.82 / $19.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.01 / $192.63 / $201.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.60 / $21.60 / $21.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $14.87 / $18.75
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.60 / $21.60 / $21.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $14.87 / $18.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $9.52 / $22.20