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Virginia 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
$6.93 / $6.93 / $7.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $6.93 / $7.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $6.65 / $7.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $13.08 / $13.08
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $10.35 / $16.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.93 / $9.02 / $14.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $15.26 / $20.45
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.31 / $10.80 / $19.46
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.31 / $10.80 / $19.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $6.73 / $12.76