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Idaho 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
Professional
Modifier
Low / Median / High Price
$1.65 / $2.06 / $2.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.19 / $3.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.13 / $2.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $3.05 / $4.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.49 / $2.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.68 / $4.17