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Florida 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
$13.80 / $14.26 / $18.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $17.02 / $21.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $19.89 / $19.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.75 / $17.75 / $20.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.09 / $15.09
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $15.11 / $25.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $20.43 / $37.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.64 / $13.33 / $17.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $18.57 / $18.57