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Missouri 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
$11.38 / $21.69 / $26.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.38 / $15.90 / $29.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $15.26 / $25.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.09 / $15.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.20 / $26.54 / $55.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.01 / $125.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.15 / $22.26