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Massachusetts rates for HCPCS 43831

Gastrostomy, open; neonatal, for feeding

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $645.65 / $1,584.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,621.81 / $5,623.41
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $870.96 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $676.08 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $812.83 / $1,659.59
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,023.29 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $870.96 / $1,258.93
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $3,162.28 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,096.48 / $1,698.24
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,621.81 / $5,623.41
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $870.96 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,691.53 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $851.14 / $1,778.28