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Stomach Tube - Levine Type

Hawaii rates for HCPCS B4083

Stomach tube - Levine type

Rates data updated July 2026.

Facilitymedian $8 · 10th–90th $8$80%50%100%$8Professionalmedian $3 · 10th–90th $3$30%50%90th$3$5.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
HMSA
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$2.75
United
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$3.39
Typical High
$3.39