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Gastrostomy/Jejunostomy Tube, Standard

Massachusetts rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $60 · 10th–90th $35$950%20%10th90th$60Professionalmedian $32 · 10th–90th $17$910%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
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$19.95
Typical High
$186.21
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$89.13
Typical High
$363.08
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$34.67
Typical High
$58.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$25.70
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$53.70
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$89.13
Typical High
$363.08
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$34.67
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$33.88
Typical High
$58.88