go back

Idaho rates for HCPCS B4088

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.14 / $37.58 / $37.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.08 / $39.83 / $53.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.32 / $40.32 / $44.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.35 / $55.41 / $84.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.71 / $29.71 / $42.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.36 / $37.54 / $60.30