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Utah 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
$1.19 / $1.19 / $1.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.19 / $1.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $2.86 / $3.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $2.39 / $3.15