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California rates for HCPCS A4222

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

Facilitymedian $26 · 10th–90th $20–$650%20%10th90th$26Professionalmedian $33 · 10th–90th $20–$2040%20%10th90th$33$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $33.11 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $28.18 / $28.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $25.70 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $26.30 / $69.18
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $87.10 / $131.83
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $93.33 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $53.70 / $66.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $56.23 / $128.82
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $245.47 / $354.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $48.98 / $74.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $48.98
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $26.30 / $52.48