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Open Gastrostomy, Newborn Feeding Tube

Michigan rates for HCPCS 43831

Creates a feeding opening directly into the stomach through an incision in the abdomen, performed on a newborn or young infant who cannot get enough nutrition by mouth. A feeding tube is then placed through this opening so the baby can be fed directly into the stomach.

Facilitymedian $4,898 · 10th–90th $776$4,8980%50%10th$4,898Professionalmedian $661 · 10th–90th $537$1,0000%10%20%10th90th$661$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$776.25
Median
$4,897.79
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$645.65
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$575.44
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$933.25
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$741.31
Typical High
$1,621.81
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,659.59
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$707.95
Typical High
$1,148.15
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$676.08
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,778.28
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$724.44
Typical High
$1,047.13