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Ohio rates for HCPCS A4225

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

Facilitymedian $3 · 10th–90th $2–$50%20%40%10th90th$3Professionalmedian $2 · 10th–90th $1–$40%20%10th90th$2$0.1$0.2$1.0$5.0

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
$2.00 / $2.88 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.09 / $5.37
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $4.27 / $5.37
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.57 / $7.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.51 / $3.47
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.98 / $7.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.70 / $2.34