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Virginia 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 / $20.00
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 / $43.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.00 / $22.00 / $38.00
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
$50.00 / $76.00 / $76.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $21.20 / $33.79
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $60.71 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $60.71 / $9,929.00