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North Dakota rates for HCPCS 43644

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,696.88 / $1,696.88 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,696.88 / $2,365.65 / $3,705.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.00 / $1,978.00 / $3,240.00