CPT 84620

Xylose absorption test (blood or urine)

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Xylose tolerance test

Payer pricing summary

Low

Average

$59

Median

$34

High

$336

Payer rate distribution

Filter by billing methodology

All methodologies Case rate 37 Fee schedule 60 Per diem 8 Percent of billed charges 41 Other 31

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +26 other terms	732	$13	$18	$34	192%	—	$1 – $483
2	Aetna fee schedule · outpatient · +23 other terms	679	$15	$80	$396	492%	—	$0 – $8.4k
3	Humana fee schedule · outpatient · +20 other terms	513	$13	$34	$63	182%	—	$1 – $559
4	Cigna fee schedule · outpatient · +20 other terms	478	$27	$38	$46	121%	—	$5 – $437
5	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	446	$19	$39	$63	161%	—	$1 – $493
6	WellCare fee schedule · outpatient · +13 other terms	308	$13	$17	$22	125%	—	$10 – $282
7	Molina fee schedule · outpatient · +21 other terms	285	$14	$16	$11	70%	—	$1 – $196
8	Devoted fee schedule · outpatient · +10 other terms	195	$13	$13	$0	3%	—	$13 – $15
9	Anthem fee schedule · outpatient · +16 other terms	183	$15	$24	$25	105%	—	$5 – $289
10	Oscar fee schedule · outpatient · +13 other terms	168	$25	$28	$9	34%	—	$13 – $40

Page 1 of 7 · 62 payers

Xylose absorption test (blood or urine)

Payer pricing summary

Payer rate distribution

All 62 payers