go back

Wisconsin rates for HCPCS B4088

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

Facilitymedian $39 · 10th–90th $39$710%50%90th$39Professionalmedian $37 · 10th–90th $25$720%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.84 / $37.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $114.82 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $53.70 / $72.44
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $38.02 / $39.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $38.02 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $50.12 / $114.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $89.13 / $125.89
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $67.61 / $114.82
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $194.98 / $194.98
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $44.67 / $114.82