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Gastrostomy/Jejunostomy Tube, Standard

Louisiana rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $30 · 10th–90th $0$360%20%10th90th$30Professionalmedian $30 · 10th–90th $27$320%50%10th90th$30$0.0$0.1$0.5$2.0$10.0$50.0

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
$26.92
Median
$28.18
Typical High
$29.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$29.51
Typical High
$32.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$30.90
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$30.90
Typical High
$45.71