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Pennsylvania rates for HCPCS B4088

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.71 / $22.71 / $27.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.35 / $25.12 / $121.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.54 / $37.54 / $37.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.63 / $132.82 / $205.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.71 / $22.71 / $96.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.35 / $25.12 / $121.14
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.90 / $37.50 / $37.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.90 / $37.50 / $37.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.88 / $45.74 / $54.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.51 / $36.61 / $56.05