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Ohio rates for HCPCS A4221

Supplies for maintenance of noninsulin drug infusion catheter, per week (list drugs separately)

Facilitymedian $22 · 10th–90th $15–$340%20%10th90th$22Professionalmedian $15 · 10th–90th $12–$250%10%20%10th90th$15$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $22.39 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $21.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.84 / $28.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $15.85 / $33.11
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $31.62 / $40.74
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $33.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $25.70 / $33.88
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $32.36 / $58.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $13.18 / $19.05