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Massachusetts rates for HCPCS A4305

Disposable drug delivery system, flow rate of 50 ml or greater per hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.95 / $5.95 / $5.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $5.95 / $7.97
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.70 / $34.65 / $90.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $15.68 / $71.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.15 / $10.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.70 / $90.00 / $90.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $10.16 / $71.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.12 / $7.65 / $16.43