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Oklahoma rates for HCPCS B4087

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

Facilitymedian $34 · 10th–90th $29–$1,8200%20%10th90th$34Professionalmedian $32 · 10th–90th $17–$330%20%40%10th90th$32$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $30.90 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $35.48 / $66.07
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $30.20 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $35.48 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $30.90 / $44.67