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South Dakota rates for HCPCS B4088

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.09 / $37.09 / $37.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.09 / $37.09 / $43.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.75 / $43.18 / $53.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.08 / $61.90 / $118.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $39.93 / $72.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.15 / $48.90 / $56.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.24 / $57.63 / $93.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.89 / $38.94 / $48.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $36.97 / $72.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.00 / $146.00 / $146.00