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New York rates for HCPCS A4223

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

Facilitymedian $12 · 10th–90th $4–$200%20%40%10th90th$12Professionalmedian $20 · 10th–90th $20–$320%50%90th$20$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $74.13
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $10.00 / $10.00
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $25.12 / $107.15
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $10.00 / $10.72
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $10.00 / $10.00