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Louisiana rates for HCPCS A4222

Infusion Supplies For External Drug Infusion Pump Per Cassette Or Bag (List

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.59 / $36.45 / $36.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.87 / $33.61 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.89 / $76.68 / $107.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.62 / $29.62 / $39.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.83 / $44.83 / $44.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.75 / $33.75 / $33.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $28.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $26.54 / $42.88