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North Carolina rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.47 / $4.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.14 / $2.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.09 / $2.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $2.88 / $5.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11