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Idaho rates for HCPCS A4221

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $19.18 / $35.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.09 / $15.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.98 / $24.54 / $37.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.93 / $23.93 / $25.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.04 / $44.08 / $49.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.63 / $17.63 / $26.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.40 / $13.15 / $22.26