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Refill Kit for Implantable Infusion Pump

Virginia rates for HCPCS A4220

Refill kit for implantable infusion pump

Rates data updated July 2026.

Facilitymedian $49 · 10th–90th $20$10,0000%20%10th90th$49Professionalmedian $20 · 10th–90th $4$200%50%10th$20$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$7.41
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$0.91
Typical High
$0.91
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$54.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Sentara
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$70.79
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$70.79
Typical High
$10,000.00