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New York 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
$1.00 / $2.63 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $4.68
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.95 / $2.95
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.47
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $3.80 / $9.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $5.01 / $6.92
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.09
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.24 / $2.24
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.31 / $3.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.74 / $3.16
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.09
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.24