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Louisiana 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
$29.30 / $30.59 / $32.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.30 / $32.20 / $32.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $28.62 / $35.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.88 / $45.74 / $45.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $32.29 / $45.04