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North Carolina rates for HCPCS 43621

Gstrct Tot W/Roux-En-Y Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.00 / $2,232.69 / $6,953.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $518.28 / $35,600.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.56 / $2,621.00 / $4,111.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.00 / $661.00 / $4,877.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $16,917.84 / $20,424.32