go back

Oregon rates for HCPCS A4221

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $17.72 / $35.96
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
$46.59 / $57.91 / $69.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.39 / $25.19 / $41.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.82 / $23.93 / $26.45
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.67 / $25.19 / $28.97
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.71 / $25.19 / $28.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.39 / $25.19 / $41.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $23.94 / $27.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.71 / $27.71 / $30.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.11 / $13.15 / $25.28