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Louisiana 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
$1.96 / $2.41 / $2.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.41 / $2.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $4.40 / $6.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $2.10 / $2.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.36 / $2.36 / $2.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.69 / $2.60