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Texas rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.04 / $2.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.26 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $81.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.09 / $2.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.70 / $1.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $2.40 / $3.72