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Maine 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
$17.55 / $19.77 / $19.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.49 / $49.41 / $56.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $28.00 / $34.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.59 / $38.59 / $46.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $19.77 / $19.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $47.76 / $61.92