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Missouri 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
$19.95 / $19.95 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $151.36 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $32.36 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $22.91 / $56.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66