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California rates for HCPCS A4221

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

Facilitymedian $13 · 10th–90th $10–$330%10%20%10th90th$13Professionalmedian $17 · 10th–90th $12–$870%10%10th90th$17$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $17.78 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $21.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $12.30 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.80 / $36.31
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $43.65 / $66.07
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $48.98 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $28.18 / $34.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $34.67 / $104.71
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $190.55 / $190.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $25.70 / $37.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $25.12
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $13.18 / $26.92