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North Dakota rates for HCPCS 43773

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

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
$1,379.94 / $2,489.81 / $3,716.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.75 / $1,742.26 / $3,258.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.74 / $2,240.69 / $5,114.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,790.00 / $2,790.00 / $2,790.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.02 / $2,126.17 / $3,215.16