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Gastrostomy/Jejunostomy Tube, Standard

West Virginia rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $15 · 10th–90th $15$360%50%90th$15Professionalmedian $29 · 10th–90th $15$460%20%10th90th$29$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
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$165.96
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$33.11
Typical High
$58.88