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South Dakota rates for HCPCS B4088

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

Facilitymedian $37 · 10th–90th $37–$720%50%90th$37Professionalmedian $37 · 10th–90th $27–$540%20%10th90th$37$20.0$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $34.67 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $53.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $61.66 / $117.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $41.69 / $72.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $41.69 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $38.02 / $69.18