go back

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
$25.70 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $25.70 / $33.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $42.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $42.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $35.48 / $57.54