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Montana rates for HCPCS A4225

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.02 / $2.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $3.42 / $3.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $3.69 / $3.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.69 / $3.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $3.69 / $8.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $2.70 / $7.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $1.70 / $1.96