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Iowa 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.82 / $2.82
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.19 / $5.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $3.39 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $3.09 / $4.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.47 / $3.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.04 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.04 / $4.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.69 / $2.69