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California rates for HCPCS B4087

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

Facilitymedian $25 · 10th–90th $19$870%20%10th90th$25Professionalmedian $29 · 10th–90th $17$1020%10%20%10th90th$29$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
$14.13 / $16.98 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $28.18 / $91.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $24.55 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $26.92 / $79.43
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $67.61 / $97.72
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $93.33 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $41.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $42.66 / $83.18
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $26.92 / $47.86
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $38.02
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $100.00 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $42.66 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $43.65 / $117.49