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North Dakota rates for HCPCS A4220

Refill kit for implantable infusion pump

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.32 / $76.56 / $84.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.08 / $61.08 / $70.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $39.39 / $48.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $34.00