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Refill Kit for Implantable Infusion Pump

Idaho rates for HCPCS A4220

Refill kit for implantable infusion pump

Rates data updated July 2026.

Facilitymedian $72 · 10th–90th $20$1050%20%40%10th90th$72Professionalmedian $20 · 10th–90th $20$200%50%$20$1.0$2.0$5.0$10.0$20.0$50.0$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
$72.44
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$0.91
Typical High
$0.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Select Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$102.33
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$34.67
Typical High
$60.26