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Gastrostomy/Jejunostomy Tube, Standard

Nebraska rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $32 · 10th–90th $32$1580%50%90th$32Professionalmedian $33 · 10th–90th $24$1580%20%10th90th$33$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
$33.11
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.11
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$44.67
Typical High
$45.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$44.67
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$28.84
Typical High
$77.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$52.48
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$28.84
Typical High
$81.28