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West 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
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.28 / $33.61 / $47.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $7.82 / $7.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.00 / $38.00 / $38.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $18.70 / $18.70