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Massachusetts 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
$28.53 / $28.53 / $28.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.33 / $28.82 / $34.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.39 / $77.09 / $227.17
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.73 / $46.39 / $247.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.57 / $44.57 / $132.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.53 / $30.53 / $41.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $53.67
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $37.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.31 / $38.31 / $38.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.99 / $227.17 / $227.17
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.20 / $37.38 / $247.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.20 / $37.38 / $73.17