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New Hampshire 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
$1.10 / $1.10 / $1.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.17 / $1.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.13 / $2.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $2.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.92 / $5.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.12 / $3.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.96 / $2.49