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California rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $1.03 / $6.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.20 / $6.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $2.63 / $6.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.62 / $2.06
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $4.21 / $5.56
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $2.40 / $3.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.65
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.71 / $6.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $2.02 / $3.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $2.02 / $2.02
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $4.30 / $4.30
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $2.24 / $3.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $2.56 / $6.07