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Connecticut 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
$15.67 / $15.67 / $15.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.22 / $15.67 / $22.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.12 / $13.76 / $13.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.09 / $15.09
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.34 / $37.79 / $54.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $13.22 / $22.64