go back

Massachusetts 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
$1.43 / $1.43 / $1.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.69 / $2.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.28 / $3.48 / $75.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $3.28 / $16.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $4.30 / $5.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.16 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.16
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $2.71 / $2.71
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $6.86 / $75.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.08 / $16.82
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.08 / $4.90