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North Carolina rates for HCPCS B4087

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $74.13 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $28.84 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $45.71 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $33.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $33.88 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $41.69 / $79.43
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78