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New Mexico 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
$1.92 / $2.00 / $6.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $2.11 / $2.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.27 / $1.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $3.47 / $4.37