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Iowa rates for HCPCS A4225

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each

Facilitymedian $3 · 10th–90th $2–$50%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.98 / $4.79
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $8.13 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $3.89 / $8.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $2.19 / $7.59
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.98 / $10.23
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.50 / $7.59
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $2.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.70 / $2.82
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16