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New Jersey 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
$31.90 / $31.90 / $31.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $25.41 / $37.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $28.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.17 / $62.59 / $83.62
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.29 / $34.29 / $34.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.16 / $28.23 / $41.98