go back

North Dakota rates for HCPCS A4223

Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)

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
$43.69 / $52.82 / $58.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.30 / $106.30 / $122.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.88 / $68.55 / $84.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $34.00