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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
$29.38 / $29.38 / $29.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $50.16 / $53.51