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Connecticut 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
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.65 / $2.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $2.00 / $2.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $2.54 / $3.06