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Washington 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
$35.08 / $35.08 / $394.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.75 / $35.08 / $37.50
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.35 / $65.30 / $184.63
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $37.78 / $40.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.99 / $83.99 / $102.66
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.47 / $42.44 / $45.34
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.95 / $64.42 / $104.68
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.26 / $40.26 / $74.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.35 / $54.42 / $103.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $37.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.74 / $54.89 / $54.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.75 / $49.44 / $95.90