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North Dakota rates for HCPCS 43621

Gastrectomy, total; with Roux-en-Y reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,238.72 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,019.95 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $2,041.74