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Gastrostomy/Jejunostomy Tube, Standard

Florida rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $33 · 10th–90th $26$620%20%40%10th90th$33Professionalmedian $26 · 10th–90th $19$330%20%10th90th$26$10.0$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
$20.89
Median
$26.30
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$26.30
Typical High
$33.11
AvMed
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$33.11
Typical High
$33.11
AvMed
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$33.11
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$33.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$33.11
Typical High
$58.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$33.11