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Washington rates for HCPCS A4225

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

Facilitymedian $4 · 10th–90th $3–$80%10%20%10th90th$4Professionalmedian $2 · 10th–90th $1–$40%20%10th90th$2$1.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $4.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $5.13 / $8.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $5.37 / $8.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.24 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $3.39 / $3.39
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.55
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $5.25 / $6.46
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $3.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $2.95 / $3.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $2.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.70 / $2.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $5.25