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Arizona rates for HCPCS 43831

Gastrostomy, open; neonatal, for feeding

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.20 / $621.52 / $916.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.59 / $4,605.95 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.07 / $716.65 / $833.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.01 / $684.40 / $1,302.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.72 / $702.36 / $2,086.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.00 / $665.76 / $4,646.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $2,517.00 / $4,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.94 / $630.72 / $1,172.09