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Idaho rates for HCPCS B4087

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $32.36 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $51.29 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $46.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $40.74 / $64.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $34.67 / $38.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $72.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $36.31
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $39.81 / $60.26