go back

Wisconsin rates for HCPCS 43831

Gastrostomy, open; neonatal, for feeding

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,230.27 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $645.65 / $1,230.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,122.02 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,819.70 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,288.25 / $2,511.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $776.25 / $8,128.31
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,288.25 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $812.83 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $977.24 / $4,677.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,412.54 / $2,187.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,623.41 / $5,623.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $2,818.38 / $4,677.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,187.76 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,630.78 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $812.83 / $2,187.76