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Virginia rates for HCPCS B4083

Stomach tube - Levine type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.24 / $2.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.35 / $2.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.48 / $4.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $2.11 / $2.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.66
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $2.27 / $8,718.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $2.27 / $8,718.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $2.24 / $3.49