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Arizona rates for HCPCS B4087

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

Facilitymedian $145 · 10th–90th $29–$5620%5%10%10th90th$145Professionalmedian $29 · 10th–90th $18–$910%20%10th90th$29$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $562.34 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $28.18 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $144.54 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $30.20 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $33.11 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $37.15 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $36.31 / $54.95