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Michigan rates for HCPCS B4087

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

Facilitymedian $43 · 10th–90th $34$1320%20%10th90th$43Professionalmedian $31 · 10th–90th $19$340%20%40%10th90th$31$10.0$20.0$50.0$100.0$200.0

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
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $28.84 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $97.72 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $87.10 / $102.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $34.67 / $45.71
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $33.88 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $35.48 / $51.29