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Arizona rates for HCPCS B4087

Gastrostomy/jejunostomy tube, standard, any material, any type, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $562.34 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $28.84 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $93.33 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $30.20 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $33.11 / $158.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $37.15 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $36.31 / $57.54