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Massachusetts rates for HCPCS B4083

Stomach tube - Levine type

Facilitymedian $1 · 10th–90th $1$850%50%90th$1Professionalmedian $2 · 10th–90th $1$30%20%10th90th$2$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.19 / $85.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.95 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.70 / $2.00
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $3.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.19 / $85.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.95 / $3.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $2.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $2.24 / $4.07