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Gastrostomy/Jejunostomy Tube, Standard

Iowa rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $45 · 10th–90th $24$1020%20%10th90th$45Professionalmedian $30 · 10th–90th $17$560%10%10th90th$30$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
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$28.84
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$45.71
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$57.54
Typical High
$83.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$50.12
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$46.77
Typical High
$70.79
Midlands
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$52.48
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$38.02
Typical High
$70.79
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66