go back

Missouri rates for HCPCS B4083

Stomach tube - Levine type

Facilitymedian $2 · 10th–90th $1–$70%50%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.66 / $2.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.17 / $1.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $3.98 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $1.91 / $3.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $2.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $2.00 / $3.72