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South Carolina 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
Facility
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $2.02 / $2.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.71 / $3.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.39 / $4.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.27 / $1.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.92 / $3.15