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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
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $32.36 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $33.11 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $26.92 / $52.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $33.88 / $51.29