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Washington, DC rates for HCPCS B4087

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.20 / $33.20 / $33.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $33.20 / $33.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $31.47 / $62.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.52 / $28.67 / $76.50