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Wisconsin rates for HCPCS 84620

Xylose absorption test, blood and/or urine

Facilitymedian $28 · 10th–90th $10$760%10%10th90th$28Professionalmedian $12 · 10th–90th $6$470%10%10th90th$12$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $28.84 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $34.67 / $35.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $51.29
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $40.74 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $18.62 / $40.74
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $25.70 / $95.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $11.75 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $9.77 / $26.92
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $32.36 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $33.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $21.38 / $36.31
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $33.11 / $50.12
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.76 / $11.48
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $27.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $54.95 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $10.47 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $10.00 / $26.92