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Tennessee rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $3.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.93 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $85.00 / $85.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $2.48 / $4.66