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Gastrostomy/Jejunostomy Tube, Low-Profile

Utah rates for HCPCS B4088

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

Rates data updated July 2026.

Facilitymedian $17 · 10th–90th $17$500%50%90th$17Professionalmedian $35 · 10th–90th $17$390%20%40%10th90th$35$20.0$50.0

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
$17.38
Median
$17.38
Typical High
$17.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$33.88
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$50.12
Typical High
$66.07
Select Health
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$43.65
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$45.71
Typical High
$56.23