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Montana rates for HCPCS 43831

Gastrostomy, open; neonatal, for feeding

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.77 / $594.00 / $3,141.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.10 / $970.10 / $970.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.01 / $970.10 / $1,623.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.04 / $781.16 / $1,063.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.54 / $988.89 / $1,647.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.40 / $981.12 / $1,264.58