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North Dakota rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.52 / $1,177.52 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.91 / $1,177.52 / $1,559.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,395.37 / $2,635.02 / $3,089.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.06 / $2,349.85 / $3,501.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.82 / $1,486.67 / $2,533.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.49 / $2,160.16 / $8,760.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $681.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.27 / $1,999.48 / $3,023.22