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Arkansas rates for HCPCS B4087

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.01 / $26.01 / $26.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.81 / $26.01 / $29.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179,999.82 / $489,999.51 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.39 / $48.16 / $48.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $34.59 / $52.74