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Arkansas rates for HCPCS A4221

Supplies for maintenance of noninsulin drug infusion catheter, per week (list drugs separately)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.71 / $19.71 / $19.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $19.71 / $22.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179,999.82 / $519,999.48 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.80 / $31.80 / $31.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.71 / $32.75 / $37.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.45 / $31.49 / $58.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $15.09 / $20.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.81 / $13.22 / $22.03