go back

Refill Kit for Implantable Infusion Pump

Maryland rates for HCPCS A4220

Refill kit for implantable infusion pump

Rates data updated July 2026.

Professionalmedian $20 · 10th–90th $20$400%50%90th$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
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$0.91
Typical High
$0.91
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$57.54
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98