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Rhode Island rates for HCPCS B4087

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.01 / $19.01 / $34.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.23 / $68.01 / $80.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $18.00 / $29.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.88 / $40.13 / $50.34