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Gastrostomy/Jejunostomy Tube, Standard

New Mexico rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $209 · 10th–90th $34$4070%20%10th90th$209Professionalmedian $32 · 10th–90th $30$1580%20%40%10th90th$32$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
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$31.62
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$257.04
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$26.30
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$48.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$31.62
Providence
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.62
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$45.71
Typical High
$64.57