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

$73

Median

$42

High

$462

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	Aetna other · outpatient · +5 other terms	56	$40	$75	$127	169%	—	$10 – $575
2	Humana other · outpatient · +4 other terms	56	$13	$78	$172	221%	—	$10 – $615
3	UnitedHealthcare other · outpatient · +4 other terms	45	$13	$30	$58	197%	—	$7 – $334
4	Ambetter other · outpatient · +2 other terms	41	$23	$359	$500	139%	—	$16 – $1.2k
5	Cigna other · outpatient · +2 other terms	35	$42	$49	$25	52%	—	$13 – $146
6	Blue Cross Blue Shield other · outpatient · +3 other terms	30	$13	$28	$58	209%	—	$7 – $334
7	WellCare other · outpatient · +2 other terms	27	$13	$17	$9	50%	—	$10 – $39
8	Molina other · outpatient · +3 other terms	21	$27	$46	$89	195%	—	$7 – $357
9	Optum other · outpatient · +2 other terms	18	$13	$21	$12	56%	—	$10 – $52
10	Oscar other · outpatient · +2 other terms	15	$21	$19	$1	7%	—	$18 – $21

Page 1 of 4 · 31 payers

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