CPT 84620
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.
Original text from hospital filings
Xylose tolerance test
Low
$7
Average
$47
Median
$13
High
$930
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare case rate · outpatient · +3 other terms | 47 | $14 | $14 | $1 | 11% | — | $9 – $17 |
| 2 | Molina facility · case rate · outpatient · +4 other terms | 42 | $14 | $14 | $6 | 46% | — | $6 – $28 |
| 3 | Aetna case rate · outpatient · +1 other terms | 38 | $13 | $16 | $14 | 85% | — | $13 – $76 |
| 4 | Humana facility · case rate · outpatient · +1 other terms | 30 | $13 | $12 | $4 | 33% | — | $6 – $28 |
| 5 | Anthem facility · case rate · outpatient · +2 other terms | 23 | $16 | $17 | $11 | 63% | — | $5 – $52 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 23 | $17 | $18 | $5 | 25% | — | $11 – $28 |
| 7 | Optum facility · case rate · outpatient | 14 | $15 | $14 | $5 | 37% | — | $6 – $25 |
| 8 | WellCare case rate · outpatient · +1 other terms | 14 | $13 | $13 | $1 | 4% | — | $13 – $14 |
| 9 | Blue Cross Blue Shield case rate · outpatient · +2 other terms | 13 | $13 | $26 | $12 | 48% | — | $13 – $39 |
| 10 | Ambetter case rate · outpatient · +2 other terms | 12 | $19 | $19 | $1 | 4% | — | $19 – $21 |
← Hospitals reporting CPT 84620 · Snapshot 20261113T090226Z-3ce6c0b8