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Missouri 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
$28.19 / $32.27 / $37.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.19 / $32.27 / $37.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.97 / $38.82 / $170.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.18 / $34.56 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $43.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.19 / $76.70 / $184.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $30.08 / $53.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.74 / $45.74 / $54.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $30.08 / $66.90