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Missouri rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.89 / $2.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.89 / $2.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.10 / $9.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $2.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.65 / $1.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $3.98 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.99 / $3.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.85 / $3.82