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North Dakota rates for HCPCS A4367

Ostomy Belt Each (Special Coverage Instructions Apply. See Mcm: 2130a)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.40 / $7.40 / $7.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $6.56 / $7.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $11.26 / $11.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.12 / $15.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $7.40 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.84 / $10.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $6.91 / $10.37