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Missouri rates for HCPCS 43831

Gastrostomy, open; neonatal, for feeding

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.96 / $640.61 / $875.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,050.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.42 / $705.89 / $1,135.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.15 / $785.26 / $1,307.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.66 / $822.80 / $1,874.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.94 / $1,066.99 / $4,646.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $2,332.00 / $3,041.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.05 / $833.59 / $1,422.07