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Gastrostomy/Jejunostomy Tube, Low-Profile

Washington rates for HCPCS B4088

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

Rates data updated July 2026.

Facilitymedian $44 · 10th–90th $35$720%20%10th90th$44Professionalmedian $36 · 10th–90th $21$1780%20%10th90th$36$20.0$50.0$100.0$200.0

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
$35.48
Median
$35.48
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$177.83
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$54.95
Typical High
$102.33
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$102.33
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$42.66
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$63.10
Typical High
$83.18
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$54.95
Typical High
$102.33
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$42.66
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$102.33
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$64.57