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Gastrostomy/Jejunostomy Tube, Standard

Indiana rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $33 · 10th–90th $26$350%50%10th90th$33Professionalmedian $34 · 10th–90th $20$410%20%10th90th$34$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
$33.88
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$33.88
Typical High
$33.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$33.11
Typical High
$40.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$26.30
Typical High
$51.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$34.67
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$33.88
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$33.88
Typical High
$51.29