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North Dakota rates for HCPCS A6154

Wound pouch, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $12.02 / $16.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $21.88 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $28.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $19.95 / $36.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $7.94 / $20.89