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Wisconsin rates for HCPCS B4087

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

Facilitymedian $34 · 10th–90th $34$850%20%40%90th$34Professionalmedian $33 · 10th–90th $21$630%20%40%10th90th$33$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.70 / $33.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $54.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $97.72 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $45.71 / $63.10
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $33.11 / $34.67
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $34.67 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $45.71 / $107.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $64.57 / $89.13
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $63.10 / $104.71
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $173.78 / $173.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $33.88 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $42.66 / $107.15