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Syringe Cartridge for External Insulin Infusion Pump

Utah rates for HCPCS A4225

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

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$10%50%$1Professionalmedian $2 · 10th–90th $1$30%10%20%10th90th$2$2.0$5.0$10.0$20.0$50.0

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
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$1.45
Typical High
$1.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$2.04
Typical High
$3.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$2.95
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$3.47
Select Health
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.47
Typical High
$3.63
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.47
Typical High
$4.17
United
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.70
Typical High
$2.57