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Michigan rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $5.89 / $11.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.14 / $2.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $5.75 / $6.76
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.29 / $3.09
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.00 / $2.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.40 / $3.39