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Gastrostomy/Jejunostomy Tube, Standard

Montana rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $56 · 10th–90th $34$66,0690%20%10th90th$56Professionalmedian $47 · 10th–90th $34$1580%20%10th90th$47$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$56.23
Typical High
$56.23
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$56.23
Typical High
$56.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Providence
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$43.65
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$46.77
Typical High
$57.54