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West Virginia 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
$16.35 / $16.35 / $16.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.35 / $22.28 / $37.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.22 / $46.68 / $55.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.37 / $45.37 / $45.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $190.15
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.39 / $1,055.39 / $1,055.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.88 / $38.88 / $38.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.84 / $38.22 / $63.06