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New Jersey 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
$15.45 / $15.45 / $15.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.28 / $13.05 / $19.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.09 / $15.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.45 / $33.00 / $44.08
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $17.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.83 / $13.90 / $20.22