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Maine 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
$1.21 / $1.21 / $1.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $2.29 / $2.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.62 / $2.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $2.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $3.04 / $3.46