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Pennsylvania rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.51 / $6.59
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.65
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.51 / $6.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.27
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $2.22 / $3.42