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Illinois rates for HCPCS A4221

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

Facilitymedian $38 · 10th–90th $14–$1550%20%10th90th$38Professionalmedian $17 · 10th–90th $13–$260%10%20%10th90th$17$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $25.70
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $27.54 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $64.57 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $19.05 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $19.05
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $35.48 / $89.13
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.18 / $22.91