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Stomach Tube - Levine Type

Illinois rates for HCPCS B4083

Stomach tube - Levine type

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $2$130%50%10th90th$2Professionalmedian $2 · 10th–90th $1$20%20%10th90th$2$1.0$5.0$20.0$100.0

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
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.14
Typical High
$2.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.91
Typical High
$2.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$6.76
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$1.70
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.29
Typical High
$5.13
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
United
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$2.00
Typical High
$2.00
United
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$2.63
Typical High
$4.90