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South Dakota 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–$50%20%40%10th90th$2$1.0$2.0$5.0$10.0

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 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $4.68
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.72 / $4.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.70 / $16.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.89
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $5.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.47 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.70 / $3.80
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16