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North Dakota rates for HCPCS B9004

Parenteral Nutrition Infusion Pump Portable (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,663.41 / $2,663.41 / $3,484.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,663.41 / $2,663.41 / $3,484.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,347.25 / $4,040.98 / $4,077.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,243.88 / $4,286.31 / $5,304.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.47 / $3,169.46 / $7,990.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.34 / $3,043.90 / $5,833.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.00 / $2,737.25 / $5,477.08