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North Dakota rates for HCPCS 43772

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.86 / $930.86 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.86 / $1,295.58 / $2,446.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.00 / $1,980.00 / $1,980.00