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Washington, DC 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
$18.04 / $18.04 / $18.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $18.04 / $18.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $17.66 / $17.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.09 / $15.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.93 / $49.72 / $49.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.81 / $14.71 / $21.95