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Gastrostomy/Jejunostomy Tube, Low-Profile

Iowa rates for HCPCS B4088

Gastrostomy/jejunostomy tube, low-profile, any material, any type, each

Rates data updated July 2026.

Facilitymedian $46 · 10th–90th $27$1860%20%10th90th$46Professionalmedian $32 · 10th–90th $19$600%10%20%10th90th$32$20.0$50.0$100.0$200.0$500.0

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
$26.92
Median
$26.92
Typical High
$26.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$31.62
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$53.70
Typical High
$53.70
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$67.61
Typical High
$263.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$54.95
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$50.12
Typical High
$91.20
Midlands
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$56.23
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$38.90
Typical High
$70.79
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54