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Gastrostomy/Jejunostomy Tube, Standard

Arizona rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $35 · 10th–90th $34$2880%20%40%10th90th$35Professionalmedian $33 · 10th–90th $19$1580%20%10th90th$33$20.0$50.0$100.0$200.0$500.0

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
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$562.34
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$33.11
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$147.91
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$30.20
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$33.11
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$37.15
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$33.88
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$36.31
Typical High
$57.54