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Gastrostomy/Jejunostomy Tube, Standard

Oklahoma rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $34 · 10th–90th $30$430%50%10th90th$34Professionalmedian $32 · 10th–90th $19$370%50%10th90th$32$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
$30.20
Median
$30.20
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$31.62
Typical High
$31.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$66.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$30.20
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$31.62
Typical High
$45.71