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Kansas 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
$29.32 / $29.32 / $29.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.16 / $15.84 / $29.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $44.00 / $44.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.12 / $24.12 / $25.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.09 / $15.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.16 / $25.19 / $51.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $14.83 / $125.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $13.15 / $22.26