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Gastrostomy/Jejunostomy Tube, Standard

Oregon rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $36 · 10th–90th $35$400%50%10th90th$36Professionalmedian $34 · 10th–90th $19$1580%20%10th90th$34$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
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$32.36
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$77.62
Typical High
$83.18
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$39.81
Typical High
$45.71
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$36.31
Typical High
$38.90
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$36.31
Typical High
$36.31
Providence
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$40.74
Typical High
$45.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$26.30
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$107.15
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$51.29
Typical High
$89.13