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Alabama rates for HCPCS A4221

Supplies For Maintenance Of Non-Insulin Drug Infusion Catheter Per Week (List Drug Separately)(Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $26.12 / $26.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $19.35 / $22.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $21.39 / $21.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.75 / $17.75 / $17.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.09 / $18.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $13.15 / $19.23