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Supplies for Self-Administered Injection

Pennsylvania rates for HCPCS A4211

Supplies for self-administered injections

Rates data updated October 2026.

How much does Supplies for Self-Administered Injection cost?

$5.25

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $5.25 for this service. The price depends on where it is billed: about $5.25 from a physician practice, and about $4,266 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.25$2.51 to $10.47
FacilityA hospital or hospital-owned outpatient department$4,266$2.51 to $5,012

How much rates vary

Facilitymedian $4,266 · 10th to 90th $3 to $56,234Professionalmedian $5 · 10th to 90th $3 to $11
$10$100$1K$10K$100Kfacility $4,266professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.38
Median
$0.38
Typical High
$0.38
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.25
Median
$0.25
Typical High
$0.25
Aetna
Setting
Professional
Modifier
RR · Rental
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$10.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.38
Median
$0.38
Typical High
$0.38
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.25
Median
$0.25
Typical High
$0.25
Martin's Point
Setting
Professional
Modifier
RR · Rental
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
United
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$60.26
Typical High
$67.61

Where Pennsylvania sits

The same service costs 398.1 times more in Montana than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 18th of 51

$5.25

MT $79.43GA $0.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.