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Missouri 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
$21.87 / $43.04 / $51.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.87 / $27.21 / $51.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $29.87 / $48.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $28.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $51.02 / $106.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.44 / $27.80 / $241.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $25.28 / $44.17