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North Dakota rates for HCPCS A0422

Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.20 / $22.20 / $22.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.20 / $22.20 / $22.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.30 / $38.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.97 / $30.97 / $30.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.97 / $17.97 / $29.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.97 / $17.97 / $29.43