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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
$33.18 / $33.18 / $33.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.22 / $33.18 / $110.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.59 / $801.77 / $1,675.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.98 / $30.21 / $30.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.38 / $44.05 / $45.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.18 / $45.15 / $158.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $28.78 / $78.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.15 / $51.77 / $56.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.24 / $52.89 / $85.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.43 / $31.43 / $31.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $28.78 / $78.26