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Utah rates for HCPCS 43831

Gastrostomy, open; neonatal, for feeding

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $645.65 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $758.58 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,258.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,584.89 / $3,467.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $977.24 / $1,258.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,122.02 / $1,513.56
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $660.69 / $1,023.29