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Tennessee rates for HCPCS B4087

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $29.51 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $28.84 / $33.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $39.81 / $64.57