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North Dakota rates for HCPCS A5081

Stoma Plug Or Seal Any Type Revised 1/1/2014

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.95 / $2.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $4.34 / $4.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.30 / $6.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.95 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.96 / $3.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.96 / $4.67