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Nebraska 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
$37.09 / $37.09 / $332.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.08 / $37.09 / $121.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.59 / $801.77 / $1,675.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.10 / $35.53 / $35.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.75 / $47.34 / $53.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.09 / $70.47 / $321.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $32.15 / $78.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.15 / $56.85 / $92.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.99 / $57.63 / $95.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.88 / $38.88 / $38.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $32.15 / $71.40