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Michigan rates for HCPCS B4087

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.10 / $34.10 / $103.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.24 / $33.88 / $34.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.22 / $91.58 / $177.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $32.74 / $34.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $21.86 / $28.61
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.10 / $34.59 / $34.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.01 / $34.10 / $38.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $12.55 / $25.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.74 / $32.74 / $33.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $34.59 / $49.44