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Maryland rates for HCPCS B4087

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

Facilitymedian $54 · 10th–90th $44–$2400%20%10th90th$54Professionalmedian $28 · 10th–90th $17–$340%20%10th90th$28$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $53.70 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $28.18 / $33.11
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $33.88 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $29.51 / $58.88
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51