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North Carolina 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
$1.89 / $2.02 / $2.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $2.91 / $4.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.14 / $2.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $2.88 / $5.98
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $85.00 / $85.00