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Alabama rates for HCPCS A4222

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.67 / $37.67 / $37.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.72 / $37.67 / $44.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.94 / $38.94 / $38.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.75 / $33.75 / $33.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $34.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $25.73 / $39.72