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Georgia 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
$1.89 / $1.89 / $3.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.93 / $2.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $3.30 / $7.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.74 / $3.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $3.30 / $5.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.65 / $1.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.27 / $98.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $3.07 / $4.11