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Gastrostomy/Jejunostomy Tube, Standard

Minnesota rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $93 · 10th–90th $37$2690%10%20%10th90th$93Professionalmedian $39 · 10th–90th $33$430%20%40%10th90th$39$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$33.11
Median
$56.23
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$31.62
Typical High
$33.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$41.69
Typical High
$50.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$41.69
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$42.66
Typical High
$45.71
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$257.04
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$48.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$52.48
Typical High
$1,096.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$33.11
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$42.66
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$35.48
Typical High
$66.07