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New Mexico 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 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $30.90 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $257.04 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $26.30 / $34.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $48.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $31.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.62 / $18.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $36.31 / $42.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $47.86 / $69.18