go back

Arizona rates for HCPCS A4211

Supplies for self-administered injections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $7.56 / $18.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.20 / $7.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.75 / $5.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.90 / $15.90 / $15.90