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Michigan rates for HCPCS 43831

Gastrostomy, open; neonatal, for feeding

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.40 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.13 / $653.53 / $784.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.24 / $969.35 / $1,338.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.94 / $617.42 / $1,024.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.37 / $744.68 / $1,455.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.42 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.53 / $669.44 / $949.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.50 / $528.92 / $798.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $4,857.00 / $6,036.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.91 / $774.13 / $1,001.06