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North Dakota rates for HCPCS 43771

Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,258.93 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,380.38 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,754.23 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,290.87 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,737.80 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,995.26 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,995.26 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,737.80 / $2,754.23