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Nebraska 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 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $33.11 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $794.33 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $44.67 / $45.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $44.67 / $158.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $28.84 / $77.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $52.48 / $102.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $28.84 / $77.62