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North Dakota rates for HCPCS A4221

Supplies for maintenance of noninsulin drug infusion catheter, per week (list drugs separately)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.18 / $19.18 / $19.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $17.02 / $19.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.03 / $27.85 / $30.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.05 / $44.05 / $50.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $29.54 / $36.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.18 / $25.19 / $45.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $13.15 / $25.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $10.96 / $19.39