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North Dakota rates for HCPCS 43621

Gstrct Tot W/Roux-En-Y Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,215.69 / $2,215.69 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,085.85 / $2,787.81 / $4,790.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $681.00