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Texas rates for HCPCS 43831

Gastrostomy, open; neonatal, for feeding

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $645.65 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,288.25 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $660.69 / $954.99
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,023.29 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,258.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $5,623.41
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $5,248.07 / $5,248.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $776.25 / $1,584.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $660.69 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $512.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,148.15 / $1,584.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $758.58 / $1,318.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,511.89 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $977.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $630.96 / $724.44