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North Dakota rates for HCPCS B4087

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $30.20 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $34.67 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $45.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $42.66 / $295.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $32.36 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $34.67 / $54.95