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Washington 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
$1.94 / $4.40 / $4.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.94 / $4.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $75.00 / $75.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $3.00 / $24.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $4.92 / $7.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $4.92 / $8.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.17 / $30.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $3.38 / $3.86
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.38 / $3.72
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $3.00 / $5.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $3.28 / $3.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $2.87 / $3.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.02 / $3.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $2.87