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Delaware rates for HCPCS B4087

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $33.88 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $33.11 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $38.02 / $56.23