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Minnesota rates for HCPCS B4087

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $25.70 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $41.69 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $41.69 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $117.49 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $42.66 / $45.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $112.20 / $218.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $48.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $50.12 / $1,096.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $33.11 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $42.66 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $34.67 / $66.07