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Refill Kit for Implantable Infusion Pump

Massachusetts rates for HCPCS A4220

Refill kit for implantable infusion pump

Rates data updated July 2026.

Facilitymedian $45 · 10th–90th $20$3,6310%20%40%10th90th$45Professionalmedian $20 · 10th–90th $20$450%50%90th$20$0.5$5.0$50.0$500.0$5.0K$50.0K

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
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
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$46.77
Typical High
$147.91
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$0.91
Typical High
$0.91
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$1,995.26
Typical High
$8,511.38
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$46.77
Typical High
$147.91
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$64.57
Typical High
$67.61