go back

North Dakota rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.31 / $3.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.51 / $91.29 / $100.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.73 / $21.73 / $24.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.75 / $25.00 / $30.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $4.42 / $5.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.04 / $3.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.83 / $3.59