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South Carolina 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
$37.13 / $37.13 / $37.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.89 / $34.07 / $37.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.57 / $44.45 / $55.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.13 / $38.22 / $50.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $18.29 / $18.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.74 / $45.74 / $45.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $21.53 / $45.86