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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
$144.77 / $559.97 / $876.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $18.48 / $110.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.59 / $135.82 / $226.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.70 / $30.10 / $60.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.34 / $41.26 / $158.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.72 / $36.44 / $54.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.41 / $33.01 / $33.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.52 / $36.39 / $54.67