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Mississippi 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
$22.14 / $22.14 / $22.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.45 / $22.14 / $23.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.74 / $25.74 / $28.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $19.39 / $19.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.09 / $15.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $13.22 / $27.77