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Gastrostomy/Jejunostomy Tube, Low-Profile

New York rates for HCPCS B4088

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

Rates data updated July 2026.

Facilitymedian $39 · 10th–90th $26$1740%20%10th90th$39Professionalmedian $38 · 10th–90th $21$740%20%10th90th$38$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$16.98
Median
$26.30
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.30
Typical High
$30.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$81.28
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$194.98
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$63.10
Typical High
$147.91
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$69.18
Typical High
$107.15
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$173.78
Typical High
$173.78
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$173.78
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$37.15
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$42.66
Typical High
$81.28
Univera
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$173.78
Univera
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$173.78