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Maine rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $6.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.29 / $2.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $6.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.82 / $3.47