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Gastrostomy/Jejunostomy Tube, Standard

North Dakota rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $25 · 10th–90th $25$330%50%90th$25Professionalmedian $33 · 10th–90th $25$360%20%10th90th$33$10.0$20.0$50.0$100.0$200.0

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
$25.12
Median
$25.12
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$33.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$34.67
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$45.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$42.66
Typical High
$295.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$32.36
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$35.48
Typical High
$52.48