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Arkansas 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
$8.28 / $37.38 / $37.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $37.38 / $41.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.59 / $91.59 / $91.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179,999.82 / $519,999.48 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.31 / $60.31 / $60.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.56 / $62.11 / $71.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.17 / $59.73 / $110.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $28.69 / $41.72
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.33 / $105.33 / $105.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $25.73 / $46.73