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Tennessee 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
$26.72 / $26.72 / $46.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.94 / $31.89 / $45.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.41 / $56.54 / $134.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $28.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $227.17 / $227.17
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.29 / $247.73 / $358.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $25.73 / $37.20