go back

North Dakota rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.75 / $1,251.75 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.30 / $1,251.75 / $1,654.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.02 / $2,794.14 / $3,276.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.51 / $2,494.28 / $3,716.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.75 / $1,742.26 / $3,261.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.74 / $2,238.16 / $5,119.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.00 / $1,980.00 / $1,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.49 / $2,213.83 / $3,215.16