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Washington rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.14 / $25.35 / $71.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $12.14 / $20.57
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.56 / $27.40 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $11.75 / $23.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.19 / $21.49 / $37.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $16.97 / $23.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $12.45 / $13.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $14.20 / $28.50
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $19.37 / $35.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $11.62 / $11.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.85 / $21.19 / $35.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $12.91 / $35.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $5.81 / $12.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $5.81 / $6.69