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North Dakota rates for HCPCS A4364

Adhesive Liquid Or Equal Any Type Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.54 / $2.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.86 / $4.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.05 / $7.05 / $8.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.92 / $6.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $3.49 / $7.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.75 / $3.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.75 / $5.43