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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
$18.20 / $32.36 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $39.81 / $39.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $42.66 / $134.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $33.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $26.30 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $66.07 / $102.33