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Refill Kit for Implantable Infusion Pump

Nebraska rates for HCPCS A4220

Refill kit for implantable infusion pump

Rates data updated July 2026.

Facilitymedian $30 · 10th–90th $20$400%20%10th90th$30Professionalmedian $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
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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$38.90
Typical High
$48.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$30.90
Typical High
$39.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.72
Median
$51.29
Typical High
$60.26
Midlands
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
$33.88
Typical High
$37.15