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North Dakota rates for HCPCS 43762

Perq Replacement Gtube Not Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.47 / $230.55 / $2,000.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$18.73 / $18.73 / $115.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.56 / $205.30 / $278.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.64 / $323.23 / $557.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $184.91 / $590.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.47 / $195.97 / $384.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.78 / $421.87 / $804.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $125.00 / $1,978.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.51 / $397.23 / $523.44