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Missouri rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.66 / $2.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.66 / $1.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $3.98 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.91 / $3.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $2.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $2.00 / $3.72