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Indiana 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
$37.67 / $37.67 / $39.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.46 / $37.67 / $37.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.85 / $33.82 / $37.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.93 / $35.39 / $47.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.63 / $37.79 / $45.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.78 / $37.31 / $42.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.49 / $46.71 / $53.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $36.32 / $55.78