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Massachusetts rates for HCPCS B4087

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

Facilitymedian $60 · 10th–90th $17–$980%20%10th90th$60Professionalmedian $32 · 10th–90th $18–$650%20%40%10th90th$32$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $22.91 / $91.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $89.13 / $363.08
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $34.67 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $63.10 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $27.54
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $53.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $89.13 / $363.08
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $34.67 / $58.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $42.66 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $33.88 / $58.88