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Texas rates for HCPCS B4083

Stomach tube - Levine type

Facilitymedian $2 · 10th–90th $1–$850%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.17 / $1.70
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $2.04 / $2.88
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.70 / $2.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $2.09 / $2.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.26 / $1.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $2.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.34 / $3.55