go back

Ohio rates for HCPCS A4222

Infusion Supplies For External Drug Infusion Pump Per Cassette Or Bag (List

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.39 / $30.15 / $66.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.33 / $30.15 / $40.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $32.35 / $65.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.78 / $59.73 / $71.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.56 / $62.11 / $102.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $28.69
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $10.26 / $55.82
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $28.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $58.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.94 / $25.42 / $36.92