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Idaho rates for HCPCS A4222

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $33.64 / $69.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $28.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.79 / $47.78 / $74.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.39 / $45.39 / $47.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.06 / $83.62 / $93.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.45 / $33.45 / $50.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.28 / $25.28 / $44.17