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Missouri rates for HCPCS 43830

Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.74 / $4,261.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,050.00 / $9,663.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.13 / $951.38 / $2,732.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$175.03 / $382.77 / $382.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.00 / $2,959.00 / $5,620.00