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Gastrostomy/Jejunostomy Tube, Standard

Connecticut rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $35 · 10th–90th $28$430%20%40%10th90th$35Professionalmedian $26 · 10th–90th $17$330%10%20%10th90th$26$20.0$50.0$100.0

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

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$26.30
Typical High
$33.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$35.48
Typical High
$42.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$26.30
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$43.65
Typical High
$58.88