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Washington, DC 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
$34.68 / $34.68 / $34.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.17 / $34.68 / $34.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.04 / $35.04 / $35.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $28.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.39 / $94.30 / $94.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.94 / $28.28 / $41.62