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Utah 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
$17.20 / $17.20 / $17.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.20 / $17.20 / $35.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.39 / $51.88 / $56.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $44.24 / $50.86