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Alaska rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.57 / $6.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $2.57 / $8.73
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $2.64 / $2.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.65 / $2.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $4.48 / $6.72