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West Virginia rates for HCPCS B4087

Gastrostomy/Jejunostomy Tube Standard Any Material Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.92 / $14.92 / $14.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.92 / $19.51 / $33.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.26 / $41.96 / $49.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.28 / $44.28 / $44.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $163.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.17 / $350.17 / $350.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.84 / $42.04 / $63.06