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North Dakota rates for HCPCS P9604

Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Trip Charge. (Special Coverage Instructions Apply. See Mcm: 51141k)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.21 / $7.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.21 / $10.40 / $11.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.79 / $4.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $12.26 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $17.73 / $22.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $18.23 / $21.13