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Stomach Tube - Levine Type

Minnesota rates for HCPCS B4083

Stomach tube - Levine type

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $2$160%10%20%10th90th$6Professionalmedian $2 · 10th–90th $2$30%20%40%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$2.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.91
Typical High
$2.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$2.69
Typical High
$3.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.69
Typical High
$2.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$7.41
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.63
Typical High
$2.88
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$6.92
Typical High
$15.85
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$3.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.75
Typical High
$3.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$2.14
Typical High
$3.39
United
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$2.24
Typical High
$4.27