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Georgia rates for HCPCS B4087

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.94 / $28.94 / $100.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.94 / $29.53 / $34.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.43 / $51.89 / $119.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.38 / $26.43 / $52.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.40 / $51.89 / $81.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $35.67 / $108.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.43 / $32.43 / $32.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.63 / $47.02 / $59.84