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Indiana rates for HCPCS B4087

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.74 / $34.10 / $34.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.46 / $34.10 / $34.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.86 / $29.30 / $32.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.93 / $26.32 / $35.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.85 / $32.74 / $40.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.57 / $31.06 / $38.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.74 / $36.67 / $53.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.19 / $26.19 / $32.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.83 / $36.32 / $51.54