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Mississippi rates for HCPCS B4083

Stomach Tube - Levine Type (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $2.02 / $2.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.23 / $2.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $2.63 / $3.53