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Alaska rates for HCPCS B4083

Stomach tube - Levine type

Facilitymedian $3 · 10th–90th $2–$30%50%10th90th$3Professionalmedian $2 · 10th–90th $1–$60%20%40%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.17 / $1.70
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $2.63 / $2.82
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.75 / $8.91
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.75
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.63
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $2.24 / $2.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.45 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.72 / $6.76