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Iowa rates for HCPCS B4088

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.08 / $27.08 / $27.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.28 / $28.19 / $37.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.75 / $53.44 / $154.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $37.79 / $265.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.19 / $58.44 / $184.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.78 / $48.52 / $72.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.15 / $48.90 / $60.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.63 / $56.85 / $93.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.89 / $54.89 / $96.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $35.38 / $62.20
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.00 / $146.00 / $146.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.00 / $146.00 / $146.00