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South Dakota rates for HCPCS B4087

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

Facilitymedian $33 · 10th–90th $33–$680%50%90th$33Professionalmedian $33 · 10th–90th $24–$460%20%10th90th$33$20.0$50.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $33.11 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $32.36 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $45.71
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $57.54 / $109.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $35.48 / $61.66
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $35.48 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $32.36 / $58.88