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Gastrostomy/Jejunostomy Tube, Standard

Wyoming rates for HCPCS B4087

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

Rates data updated July 2026.

Facilitymedian $36 · 10th–90th $36$360%50%100%$36Professionalmedian $47 · 10th–90th $17$1020%20%40%10th90th$47$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
$33.11
Median
$33.11
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$47.86
Typical High
$102.33