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North Dakota rates for HCPCS 43622

Gstrct Tot W/Frmj Intstinal Pouch Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,256.10 / $2,256.10 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,050.42 / $2,256.10 / $2,990.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,531.28 / $5,019.04 / $5,885.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.48 / $4,441.28 / $6,640.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,115.42 / $2,828.12 / $4,876.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,085.17 / $4,138.82 / $16,589.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $681.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.31 / $3,815.25 / $5,783.75