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Refill Kit for Implantable Infusion Pump

Oregon rates for HCPCS A4220

Refill kit for implantable infusion pump

Rates data updated July 2026.

Facilitymedian $195 · 10th–90th $195$1950%50%$195Professionalmedian $20 · 10th–90th $1$200%50%10th$20$1.0$5.0$20.0$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
$0.91
Typical High
$0.91
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$208.93
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Providence
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$0.91
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50