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West Virginia rates for HCPCS B4083

Stomach Tube - Levine Type (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.97 / $0.97 / $0.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.24 / $2.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $2.57 / $3.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.65 / $10.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.46 / $3.83