go back

Wyoming rates for HCPCS B4087

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $33.11 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $47.86 / $102.33