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Kansas rates for HCPCS A4211

Supplies For Self-Administered Injections (Special Coverage Instructions Apply. See Mcm: 2049)

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
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 / $2.60 / $7.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.90 / $15.90 / $15.90