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Stomach Tube - Levine Type

Washington rates for HCPCS B4083

Stomach tube - Levine type

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $2$40%20%10th90th$2Professionalmedian $2 · 10th–90th $1$90%50%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

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
$1.91
Median
$1.91
Typical High
$1.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.91
Typical High
$8.71
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$3.02
Typical High
$5.75
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$2.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$1.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.69
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.63
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$3.02
Typical High
$4.07
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$1.95
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.02
Typical High
$5.75
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$1.78
United
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$2.09
Typical High
$2.09
United
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$3.39
Typical High
$6.17
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$3.09