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Colorado 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
$20.55 / $20.55 / $20.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.55 / $24.33 / $37.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.56 / $39.56 / $39.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $26.96 / $48.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $28.69
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.17 / $47.78 / $74.11
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.78 / $47.78 / $47.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.34 / $71.67 / $94.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.28 / $25.28 / $41.71