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Arizona rates for HCPCS A4231

Infusion Set For External Insulin Pump Needle Type (Special Coverage Instructions Apply. See Cim: 60-14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.48 / $56.98 / $85.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $23.08 / $24.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $2.78 / $6.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.93 / $9.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.08 / $25.39 / $50.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.73 / $103.73 / $103.73