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Kentucky 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 / $31.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.70 / $32.70 / $32.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.80 / $12.39 / $44.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $8.48 / $10.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.00 / $38.00 / $38.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $18.70 / $18.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $5.79 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.16 / $22.16 / $22.16