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Maryland 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
$12.70 / $14.50 / $390.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $18.04 / $26.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $17.66 / $17.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.09 / $15.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.19 / $32.47 / $42.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.61 / $14.07 / $21.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.12 / $13.12 / $21.41