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Oklahoma rates for HCPCS B4087

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $30.90 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $35.48 / $66.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $30.20 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $30.90 / $45.71