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Maryland 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
Professional
Modifier
Low / Median / High Price
$1.24 / $2.25 / $3.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.33 / $3.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.86 / $5.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02