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Illinois rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.14
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 / $6.76 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.29 / $5.13
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
$2.51 / $2.51 / $2.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $2.63 / $4.47