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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
$34.10 / $34.10 / $195.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.44 / $28.94 / $34.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.71 / $101.27 / $400.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.19 / $32.74 / $32.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.74 / $49.11 / $100.00
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
$42.56 / $42.56 / $42.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.19 / $32.74 / $32.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.70 / $33.09 / $64.97