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Arizona rates for HCPCS B4088

Gastrostomy/jejunostomy tube, low-profile, any material, any type, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.31 / $898.31 / $898.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.71 / $21.71 / $121.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.59 / $135.82 / $226.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $35.35 / $70.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.88 / $76.70 / $184.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.62 / $36.44 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.62 / $36.13 / $57.54