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New York rates for HCPCS A4225

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

Facilitymedian $3 · 10th–90th $1$60%20%10th90th$3Professionalmedian $2 · 10th–90th $1$50%50%10th90th$2$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $2.63 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $4.57
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.95 / $2.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.55
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $3.80 / $9.55
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $5.01 / $6.92
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.24 / $2.24
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.31 / $3.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $10.96 / $14.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $3.39 / $8.51
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.24