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Alaska rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.63 / $2.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.75 / $8.91
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.24 / $2.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.45 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.37 / $6.76