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New Hampshire rates for HCPCS A4222

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)

Facilitymedian $41 · 10th–90th $35–$500%20%40%10th90th$41Professionalmedian $41 · 10th–90th $26–$450%20%10th90th$41$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $32.36 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $37.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $41.69 / $44.67
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $50.12 / $56.23