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Maryland rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $2.29 / $3.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.19 / $2.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.95 / $3.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04