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Nebraska rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $2.17 / $2.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.17 / $6.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.59 / $801.77 / $1,675.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $1.91 / $1.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.81 / $2.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $3.98 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.88 / $5.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $3.39 / $3.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $3.47 / $5.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.88 / $4.17