go back

Michigan rates for HCPCS A4220

Refill kit for implantable infusion pump

Facilitymedian $20 · 10th–90th $14–$300%50%10th90th$20Professionalmedian $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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $74.13 / $74.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $19.95 / $34.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.95 / $22.39
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $74.13 / $74.13