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Oregon rates for HCPCS B4087

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

Facilitymedian $36 · 10th–90th $35–$410%50%10th90th$36Professionalmedian $32 · 10th–90th $18–$480%20%10th90th$32$20.0$50.0$100.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $32.36 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $77.62 / $83.18
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $39.81 / $45.71
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $35.48 / $39.81
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $36.31 / $36.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $40.74 / $45.71
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $26.30 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $87.10 / $134.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $51.29 / $85.11