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Texas 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
$1.74 / $2.25 / $2.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.25 / $2.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $3.13 / $7.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.54 / $2.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.36 / $2.36 / $3.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.68 / $75.00 / $75.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $16.82 / $25.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $3.38 / $6.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $3.21 / $3.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $6.80 / $6.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $3.38 / $6.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $7.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.56 / $2.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $3.38 / $4.55