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California rates for HCPCS A4225

Supplies For External Insulin Infusion Pump Syringe Type Cartridge Sterile Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.43 / $2.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.27 / $3.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.72 / $3.14
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.72 / $4.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $4.38 / $8.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.68 / $75.00 / $75.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $16.82 / $25.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $7.03 / $7.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $3.38 / $4.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $8.13
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $6.42 / $6.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $1.70 / $4.21