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Massachusetts rates for HCPCS B4087

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $17.55 / $17.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $17.55 / $22.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.78 / $66.45 / $371.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.88 / $34.78 / $58.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.13 / $62.80 / $80.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.71 / $35.86 / $35.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $3,504.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.25 / $32.25 / $66.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.45 / $66.45 / $174.09
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $38.04 / $58.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.83 / $35.83 / $35.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $34.78 / $58.95