go back

Wyoming rates for HCPCS A4222

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.79 / $37.67 / $44.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.38 / $138.38 / $138.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.38 / $138.38 / $138.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $47.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.03 / $25.28 / $25.69