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Virginia 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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $3.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.98 / $5.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.57 / $4.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.95 / $2.19
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $3.02 / $100.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.02 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.74 / $2.82