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New Jersey 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
$1.69 / $1.69 / $1.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.69 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.43 / $5.92
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $1.70 / $2.40