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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
$537.03 / $660.69 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,819.70
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,047.13 / $1,258.93
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,047.13 / $1,258.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $831.76 / $1,412.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $977.24 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $954.99 / $1,230.27