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Ohio rates for HCPCS B4088

Gastrostomy/jejunostomy tube, low-profile, any material, any type, each

Facilitymedian $42 · 10th–90th $35–$1070%20%10th90th$42Professionalmedian $27 · 10th–90th $20–$370%20%40%10th90th$27$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $60.26 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $26.92 / $37.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $39.81 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $29.51 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $36.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $199.53 / $263.03
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $50.12 / $93.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $36.31 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $34.67 / $58.88