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Maryland 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
$24.22 / $24.22 / $24.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.83 / $24.22 / $31.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
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
$10.00 / $10.00 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $6.57 / $6.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04