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Gastrostomy/Jejunostomy Tube, Low-Profile

Wisconsin rates for HCPCS B4088

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

Rates data updated July 2026.

Facilitymedian $39 · 10th–90th $39$650%50%90th$39Professionalmedian $39 · 10th–90th $29$830%20%40%10th90th$39$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
$28.84
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$28.84
Typical High
$37.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$120.23
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$53.70
Typical High
$72.44
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$38.02
Typical High
$39.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$38.02
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$50.12
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$125.89
Network Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Network Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$38.02
Typical High
$39.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$67.61
Typical High
$114.82
Quartz
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$190.55
Typical High
$190.55
Quartz
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Security Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Security Health
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Security Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$43.65
Typical High
$114.82