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Louisiana 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
$1.75 / $1.82 / $1.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.92 / $1.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.70 / $1.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.95 / $3.11