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Refill Kit for Implantable Infusion Pump

North Dakota rates for HCPCS A4220

Refill kit for implantable infusion pump

Rates data updated July 2026.

Facilitymedian $20 · 10th–90th $20$320%50%90th$20Professionalmedian $58 · 10th–90th $20$850%20%10th90th$58$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
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
Professional
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$39.81
Typical High
$48.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$37.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$34.67
Typical High
$41.69