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North Dakota rates for HCPCS 43774

Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.61 / $7,763.36 / $7,763.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.61 / $1,311.21 / $2,821.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,960.00 / $3,960.00 / $3,960.00