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Utah rates for HCPCS B4087

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.20 / $17.20 / $17.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.20 / $17.20 / $32.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.06 / $46.65 / $50.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $39.86 / $46.25