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Nebraska 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 / $2.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $794.33 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.91 / $1.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.82 / $2.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $3.98 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.86 / $5.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.47 / $6.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.04 / $2.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.86 / $5.37