go back

Kentucky 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
$21.74 / $26.70 / $30.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.85 / $30.15 / $44.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $27.09 / $32.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.78 / $66.89 / $78.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.78 / $62.11 / $78.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.82 / $55.82 / $55.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $81.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $38.87 / $62.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $27.68 / $40.11