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Pennsylvania rates for HCPCS B4088

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

Facilitymedian $33 · 10th–90th $22–$950%20%10th90th$33Professionalmedian $27 · 10th–90th $16–$510%20%10th90th$27$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$21.88 / $26.92 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $26.92 / $51.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $134.90 / $213.80
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $26.92 / $41.69
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $26.92 / $37.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $33.11 / $72.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $37.15 / $93.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $36.31 / $57.54