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Kentucky rates for HCPCS B4087

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $28.84 / $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
$32.36 / $32.36 / $32.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $34.67 / $34.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $34.67 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $36.31 / $54.95