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North Dakota rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $2.04 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.35 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.85 / $1.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.91 / $1.86