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New Hampshire 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
$15.90 / $15.90 / $19.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.90 / $16.88 / $17.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.02 / $45.75 / $50.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.46 / $31.46 / $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 / $62.67 / $127.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.42 / $21.46 / $53.51
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.51 / $30.76 / $38.51