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South Carolina rates for HCPCS B4087

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.44 / $31.09 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.57 / $41.34 / $51.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $37.27 / $45.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $18.29 / $18.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.43 / $32.43 / $33.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.23 / $18.30 / $45.86