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Stomach Tube - Levine Type

Utah rates for HCPCS B4083

Stomach tube - Levine type

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$30%50%90th$1Professionalmedian $2 · 10th–90th $1$20%50%10th90th$2$2.0

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
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.20
Typical High
$1.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$1.91
Typical High
$2.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$1.70
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$2.75
Typical High
$3.63
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$2.19
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.19
Typical High
$2.19
United
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$2.69
Typical High
$3.16