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Connecticut rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $2.00 / $2.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.62 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $2.69 / $4.07