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Maryland 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
$80.09 / $83.36 / $294.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.28 / $37.50 / $51.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.71 / $33.71 / $33.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.92 / $41.31 / $56.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.51 / $27.97 / $65.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38