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Ohio rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $3.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $2.09 / $3.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.62 / $2.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $2.29 / $2.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.65
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.65 / $1.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.25 / $2.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $2.25 / $3.30