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Gastrostomy/Jejunostomy Tube, Standard

Delaware rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $34 · 10th–90th $12$1410%20%10th90th$34Professionalmedian $19 · 10th–90th $12$1380%20%40%10th90th$19$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$33.88
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$47.86
Typical High
$70.79