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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
$29.90 / $29.90 / $1,804.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.90 / $29.90 / $31.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $31.47 / $31.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.40 / $35.14 / $66.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $30.32 / $48.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.41 / $33.01 / $33.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $30.32 / $48.17