go back

Kentucky 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
$10.53 / $13.72 / $15.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $15.75 / $22.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.12 / $13.12 / $15.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.19 / $35.27 / $41.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.19 / $32.75 / $41.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.35 / $29.35 / $29.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.09 / $42.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $20.49 / $32.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.81 / $13.90 / $19.92