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Ohio 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 / $34.63
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 / $37.34 / $60.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.25 / $26.33 / $30.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.48 / $8.48 / $21.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.42 / $14.71 / $38.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $18.70 / $18.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.50 / $26.85 / $35.38