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Louisiana rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.95 / $1.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.09 / $2.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $2.04 / $2.88