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New Mexico 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
$34.67 / $34.67 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $34.67 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $302.00 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $30.90 / $38.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $57.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $35.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $25.70 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $39.81 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $69.18