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North Dakota rates for HCPCS A4222

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.86 / $36.86 / $36.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $33.13 / $36.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.69 / $52.82 / $58.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.40 / $83.40 / $95.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.50 / $56.06 / $69.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.86 / $51.60 / $86.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $25.28 / $49.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $18.55 / $36.79