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Massachusetts 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
$17.55 / $17.55 / $17.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $17.55 / $27.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.26 / $76.70 / $371.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $41.63 / $58.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.13 / $62.80 / $80.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.71 / $35.86 / $35.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $3,504.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.59 / $38.59 / $80.14
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.70 / $76.70 / $196.98
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.46 / $38.22 / $62.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.74 / $45.74 / $45.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.46 / $38.04 / $61.92