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Gastrostomy/Jejunostomy Tube, Standard

South Carolina rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $34 · 10th–90th $33$370%50%10th90th$34Professionalmedian $34 · 10th–90th $30$430%20%40%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
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$33.88
Typical High
$33.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$43.65
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$38.02
Typical High
$45.71
Medcost
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$34.67
Typical High
$53.70