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Stomach Tube - Levine Type

Idaho rates for HCPCS B4083

Stomach tube - Levine type

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $2$50%20%10th90th$3Professionalmedian $2 · 10th–90th $2$20%20%40%10th90th$2$1.0$2.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$2.00
Typical High
$2.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$3.16
Typical High
$4.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$1.51
Typical High
$3.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$1.70
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$2.75
Typical High
$3.31
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.19
Typical High
$2.29
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$4.47
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$1.51
Typical High
$2.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$4.57
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$2.19
United
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$2.69
Typical High
$4.17