go back

Iowa rates for HCPCS B4087

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

Facilitymedian $47 · 10th–90th $24–$1580%20%10th90th$47Professionalmedian $29 · 10th–90th $18–$430%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
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $28.84 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $45.71 / $45.71
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $57.54 / $83.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $50.12 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $46.77 / $70.79
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $52.48 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $51.29 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $31.62 / $70.79
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69