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Maine rates for HCPCS B4087

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $18.39 / $18.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $41.29 / $47.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $23.00 / $34.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.25 / $32.25 / $38.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $18.39 / $18.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.04 / $46.07 / $52.66