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North Dakota rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,075.01 / $2,075.01 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.80 / $2,075.01 / $2,749.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,170.14 / $4,619.06 / $5,416.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,203.21 / $4,090.82 / $6,095.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,898.75 / $2,603.11 / $4,483.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,919.88 / $3,806.61 / $15,268.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $681.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,890.57 / $3,520.79 / $5,320.20