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Tennessee 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
$32.35 / $32.35 / $56.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.01 / $32.35 / $34.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.70 / $184.63 / $196.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $40.78 / $67.79