go back

Arizona rates for HCPCS B4083

Stomach Tube - Levine Type (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $6.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $9.39 / $15.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.84 / $3.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $2.52 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.52 / $3.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.44 / $3.98