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California rates for HCPCS A4231

Infusion set for external insulin pump, needle type

Facilitymedian $4 · 10th–90th $3$280%20%40%10th90th$4Professionalmedian $23 · 10th–90th $19$290%50%10th90th$23$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$23.44 / $58.88 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $22.91 / $28.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.80 / $9.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.07 / $24.55
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $10.00 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $154.88
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $28.18 / $36.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $28.84
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.59 / $10.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $6.61 / $89.13