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Rhode Island rates for HCPCS B4087

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

Facilitymedian $65 · 10th–90th $43$830%10%20%10th90th$65Professionalmedian $19 · 10th–90th $17$290%20%10th90th$19$10.0$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $70.79 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $13.49 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $42.66 / $50.12