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West Virginia 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
$14.69 / $14.69 / $14.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $15.67 / $18.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.19 / $34.01 / $41.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.19 / $58.40 / $58.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.35 / $29.35 / $29.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.09 / $123.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $15.85 / $28.41