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North Dakota rates for HCPCS 43775

Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $8,511.38 / $18,620.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,584.89 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $7,079.46