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North Dakota rates for HCPCS 43887

Gastric restrictive procedure, open; removal of subcutaneous port component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.24 / $324.24 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.32 / $324.24 / $425.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.02 / $737.05 / $864.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.50 / $661.76 / $1,005.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.19 / $468.41 / $834.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.01 / $578.74 / $1,337.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $681.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.27 / $603.73 / $837.38