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Gastrostomy/Jejunostomy Tube, Standard

Kentucky rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $20 · 10th–90th $20$470%50%90th$20Professionalmedian $34 · 10th–90th $20$430%20%40%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
$19.95
Median
$19.95
Typical High
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$33.88
Typical High
$91.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$34.67
Typical High
$34.67
CareSource
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$34.67
Typical High
$56.23
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
$165.96
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$36.31
Typical High
$54.95