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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
$29.53 / $29.53 / $51.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $29.53 / $31.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.45 / $158.61 / $174.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.43 / $32.43 / $32.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.76 / $37.47 / $67.39