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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
$1,905.46 / $2,089.30 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,570.88 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,801.89 / $5,754.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,884.03 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,388.44 / $15,135.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,884.03 / $4,466.84