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Illinois 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
$28.82 / $28.82 / $47.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $28.84 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.70 / $38.70 / $38.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.20 / $135.72 / $447.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.55 / $35.84 / $35.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $39.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.36 / $62.11 / $121.89
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.11 / $62.11 / $62.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.71 / $64.98 / $71.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.07 / $25.94 / $44.72