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Maryland 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
$4.83 / $9.55 / $85.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $104.00 / $238.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.38 / $32.70 / $32.70