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Refill Kit for Implantable Infusion Pump

Arizona rates for HCPCS A4220

Refill kit for implantable infusion pump

Rates data updated July 2026.

Facilitymedian $63 · 10th–90th $20$2340%10%10th90th$63Professionalmedian $20 · 10th–90th $20$200%50%$20$1.0$5.0$20.0$100.0

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
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$77.62
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$53.70
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$0.91
Typical High
$0.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$21.38
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$39.81
Typical High
$60.26