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Nationwide rates for HCPCS A4220

Refill kit for implantable infusion pump

Facilitymedian $5 · 10th–90th $3–$1950%20%10th90th$5Professionalmedian $20 · 10th–90th $15–$320%50%10th90th$20$0.0$0.5$10.0$200.0$5.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.80 / $9.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $102.33 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $38.02 / $64.57

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