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Colorado 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
$10.83 / $10.83 / $10.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.83 / $12.22 / $19.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.32 / $20.32 / $20.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.12 / $13.35 / $25.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.09 / $15.09
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.83 / $24.51 / $37.25
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.19 / $25.19 / $25.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $37.79 / $49.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.12 / $13.15 / $19.23