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Oklahoma rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $1.90 / $1.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $1.90 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.36 / $5.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.95 / $3.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.86 / $3.33