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Illinois 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
$2.14 / $2.14 / $2.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.89 / $2.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $7.66 / $24.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.29 / $5.11
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.38 / $4.74