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North Dakota rates for HCPCS 43633

Gastrectomy, partial, distal; with Roux-en-Y reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,862.09 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,570.40 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $2,041.74