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Stomach Tube - Levine Type

Massachusetts rates for HCPCS B4083

Stomach tube - Levine type

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $1$650%50%10th90th$2Professionalmedian $2 · 10th–90th $1$40%20%40%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
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.20
Typical High
$1.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$1.29
Typical High
$6.31
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$2.19
Typical High
$85.11
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.95
Typical High
$3.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.62
Typical High
$1.70
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$3.02
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$2.19
Typical High
$85.11
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.95
Typical High
$3.80
United
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
United
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.95
Typical High
$4.07