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Vermont rates for HCPCS B4087

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $18.20 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $50.12 / $53.70