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Gastrostomy/Jejunostomy Tube, Standard

Idaho rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $52 · 10th–90th $36$720%20%10th90th$52Professionalmedian $33 · 10th–90th $25$350%50%10th90th$33$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
$34.67
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$33.11
Typical High
$33.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$77.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$46.77
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$36.31
Typical High
$38.02
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$50.12
Typical High
$72.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$36.31
Select Health
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$36.31
Typical High
$93.33
Select Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$39.81
Typical High
$60.26