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Arizona rates for HCPCS A4223

Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $6.24 / $15.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $8.80 / $20.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $22.00 / $42.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $61.00 / $61.00