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Montana rates for HCPCS B4088

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.95 / $121.14 / $121.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.40 / $199.40 / $199.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.67 / $46.67 / $46.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.67 / $46.67 / $46.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.67 / $46.67 / $46.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.82 / $33.82 / $46.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.88 / $52.37 / $60.04