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Maryland 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
$9.58 / $10.24 / $35.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.33 / $34.68 / $51.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.04 / $35.04 / $35.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $28.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.78 / $61.64 / $81.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.28 / $27.39 / $42.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.09 / $27.09 / $40.61