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Tennessee rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.95 / $3.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $2.09 / $2.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $2.51 / $4.47