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Pennsylvania 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 / $2.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $2.11 / $2.62
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.38 / $3.38
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.58 / $4.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.11 / $2.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $6.80 / $6.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $3.94 / $3.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $3.28 / $3.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $3.27 / $3.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $1.76 / $3.77