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Utah rates for HCPCS B4083

Stomach tube - Levine type

Facilitymedian $1 · 10th–90th $1–$30%50%90th$1Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$1.0$2.0$5.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.17 / $1.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $2.75 / $3.16
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $6.46
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.19 / $2.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.63 / $3.16