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Virginia rates for HCPCS B4083

Stomach tube - Levine type

Facilitymedian $2 · 10th–90th $2–$30%50%10th90th$2Professionalmedian $2 · 10th–90th $1–$20%20%40%10th90th$2$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.58 / $2.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.70 / $1.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.63 / $4.07
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $3.72
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.32 / $2.09 / $2.51
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.66
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $2.45 / $8,709.64
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $2.45 / $8,709.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.09 / $2.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $2.34 / $3.55