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Refill Kit for Implantable Infusion Pump

Minnesota rates for HCPCS A4220

Refill kit for implantable infusion pump

Rates data updated July 2026.

Facilitymedian $115 · 10th–90th $34$2750%10%10th90th$115Professionalmedian $34 · 10th–90th $20$390%50%10th90th$34$1.0$5.0$20.0$100.0$500.0

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
$33.88
Median
$138.04
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$33.88
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$109.65
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$43.65
Typical High
$48.98
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$117.49
Typical High
$275.42
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$52.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$36.31
Typical High
$60.26