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Ohio rates for HCPCS A4220

Refill kit for implantable infusion pump

Facilitymedian $20 · 10th–90th $20–$360%50%90th$20Professionalmedian $20 · 10th–90th $4–$200%50%10th$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 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.57 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $0.91
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $50.12 / $60.26
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $75.86