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New Hampshire 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
$1.82 / $1.82 / $2.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.82 / $2.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $1.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $3.94 / $3.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $2.71 / $4.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.70 / $2.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.43 / $3.09