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Oregon 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
Professional
Modifier
Low / Median / High Price
$1.20 / $1.91 / $6.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $4.25 / $5.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $2.22 / $3.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $1.97 / $2.35
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.13 / $2.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.22 / $3.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $2.00 / $3.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $5.99 / $8.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $2.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $3.40 / $5.45