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Gastrostomy/Jejunostomy Tube, Standard

Rhode Island rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $65 · 10th–90th $43$830%20%10th90th$65Professionalmedian $19 · 10th–90th $18$440%50%10th90th$19$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$70.79
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$18.20
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$42.66
Typical High
$50.12