go back

Idaho rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $3.16 / $4.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $3.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.45 / $3.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $4.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $2.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $2.69 / $4.17