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Wyoming 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
$14.98 / $19.35 / $23.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.46 / $24.46 / $24.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.46 / $24.46 / $24.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.09 / $24.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.12 / $13.15 / $13.21