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Oklahoma 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
$30.86 / $30.86 / $46.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.40 / $30.85 / $30.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.68 / $70.68 / $70.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.38 / $45.38 / $45.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $28.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.40 / $40.47 / $88.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.55 / $37.38 / $241.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $27.68 / $39.72