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Iowa 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
$1.58 / $1.58 / $1.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.65 / $2.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.81 / $2.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.18 / $5.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $3.47 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $2.96 / $4.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $3.00 / $3.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $3.47 / $5.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.66 / $3.80
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $2.71 / $2.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $2.71 / $2.71