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Maryland rates for HCPCS B4087

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.98 / $53.82 / $458.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.51 / $33.20 / $45.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.75 / $34.61 / $47.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.47 / $31.47 / $31.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.28 / $28.67 / $58.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38