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Pennsylvania 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
$5.46 / $5.46 / $7.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $5.91 / $7.77
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.81 / $10.18 / $10.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $7.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $5.91 / $7.77
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.57 / $882.57 / $882.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $22.30 / $28.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.99 / $11.86