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Texas 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
$1.92 / $1.94 / $2.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.98 / $2.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.22
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $2.08 / $2.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.70 / $2.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $2.08 / $3.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.65 / $1.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.21 / $3.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $2.73