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New Hampshire rates for HCPCS B4087

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.90 / $15.90 / $19.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.90 / $16.88 / $17.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.61 / $38.22 / $42.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.32 / $26.32 / $34.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.25 / $52.37 / $106.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.68 / $18.88 / $53.51
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.98 / $26.84 / $32.17