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Illinois 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
$1.93 / $1.93 / $3.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $2.00 / $3.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $19.92 / $39.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.54 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.73 / $8.61
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.38 / $4.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $4.59 / $5.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.70 / $2.83