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Georgia 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
$23.65 / $23.65 / $23.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.08 / $23.65 / $27.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $5.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.22 / $24.93 / $24.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $4.75 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $23.51 / $44.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.36