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Illinois rates for HCPCS B4087

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $30.20 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $91.20 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $56.23 / $97.72
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $37.15 / $61.66