go back

Pennsylvania rates for HCPCS A4222

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

Facilitymedian $41 · 10th–90th $25–$1,0960%20%10th90th$41Professionalmedian $31 · 10th–90th $23–$490%20%40%10th90th$31$1.0$10.0$100.0$1.0K$10.0K

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
$25.12 / $30.90 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $30.90 / $45.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $54.95 / $95.50
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $524.81 / $831.76
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $70.79 / $107.15
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $34.67 / $48.98
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $478.63 / $724.44
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $30.90
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $30.90 / $44.67
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $2,041.74 / $2,570.40
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $23.44 / $102.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $46.77 / $48.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $46.77 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $28.18 / $50.12