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North Dakota rates for HCPCS 43502

Gastrotomy W/Sutr Rpr Pre-Esopg/Gastric Lac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.56 / $1,490.56 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.07 / $1,490.56 / $1,976.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,024.61 / $3,327.23 / $3,901.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.27 / $2,956.61 / $4,405.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,402.54 / $1,879.60 / $3,214.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.88 / $2,734.43 / $11,001.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $681.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.53 / $2,818.60 / $3,885.10