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Stomach Tube - Levine Type

Wisconsin rates for HCPCS B4083

Stomach tube - Levine type

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $2$30%50%90th$2Professionalmedian $2 · 10th–90th $2$50%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
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$1.66
Typical High
$1.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.66
Typical High
$2.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$3.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$2.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$6.31
Typical High
$10.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$2.82
Typical High
$3.80
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$1.95
Typical High
$2.04
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.35
Typical High
$1.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$1.95
Typical High
$85.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$3.02
Typical High
$7.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$64.57
Typical High
$89.13
Network Health
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$5.13
Network Health
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$1.95
Typical High
$2.04
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.35
Typical High
$1.35
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$3.89
Typical High
$6.31
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$85.11
Typical High
$85.11
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$1.70
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$2.75
Security Health
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.16
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$2.75
United
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.00
United
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$2.75
Typical High
$6.76