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Missouri rates for HCPCS A4220

Refill kit for implantable infusion pump

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $43.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $3.60 / $3.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $27.20 / $54.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.17 / $51.17 / $51.17