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Oklahoma rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.40 / $5.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.91 / $3.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $2.14 / $3.16