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Illinois 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
$22.79 / $46.72 / $80.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $22.79 / $24.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.20 / $19.80 / $116.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $9.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $12.35 / $150.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $40.00 / $2,500.00