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Georgia 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
$32.75 / $32.75 / $67.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.72 / $34.68 / $43.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.98 / $104.97 / $104.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.76 / $48.11 / $107.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.78 / $69.28 / $84.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.78 / $64.50 / $110.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.75 / $33.75 / $55.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $73.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.78 / $47.78 / $76.52
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,123.17 / $2,606.40 / $2,932.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.40 / $23.40 / $23.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $28.67 / $66.36