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Wisconsin rates for HCPCS B4083

Stomach tube - Levine type

Facilitymedian $2 · 10th–90th $2$40%50%90th$2Professionalmedian $2 · 10th–90th $1$40%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
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
$2.00 / $2.00 / $3.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $2.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $6.31 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $2.63 / $3.80
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $1.95 / $2.04
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $1.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $1.95 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $3.02 / $7.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $64.57 / $89.13
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.07
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.89 / $6.31
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $85.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.17 / $1.66
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.75
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $2.00 / $2.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $2.75 / $6.76