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Stomach Tube - Levine Type

Missouri rates for HCPCS B4083

Stomach tube - Levine type

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $2$20%50%10th90th$2Professionalmedian $2 · 10th–90th $2$20%20%10th90th$2$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
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$2.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$1.91
Typical High
$2.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$7.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.62
Typical High
$2.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$1.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$3.98
Typical High
$85.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.87
Median
$1.91
Typical High
$3.72
United
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
United
Setting
Professional
Modifier
Global
Typical Low
$0.87
Median
$2.00
Typical High
$3.72