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Utah 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
$1.43 / $1.43 / $1.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.89 / $4.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.70 / $2.08