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Indiana rates for HCPCS B4083

Stomach tube - Levine type

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
$1.00 / $1.91 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.95 / $2.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.70 / $3.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $2.29 / $3.47