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Montana rates for HCPCS B4087

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $32.36 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $56.23 / $56.23
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $56.23 / $56.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $43.65 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $46.77 / $57.54