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Oregon rates for HCPCS B4087

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.28 / $32.11 / $110.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.26 / $69.61 / $83.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.11 / $40.32 / $69.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.89 / $35.58 / $38.85
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.15 / $36.65 / $41.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.33 / $39.18 / $50.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $35.99 / $49.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.09 / $98.03 / $128.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.32 / $29.32 / $31.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.03 / $51.83 / $89.56