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Alaska rates for HCPCS B4087

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.79 / $23.90 / $110.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.45 / $39.27 / $133.11
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.58 / $40.27 / $40.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $33.83 / $34.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.25 / $68.14 / $102.21