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Minnesota 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
$28.49 / $28.49 / $28.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $23.65 / $28.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $7.88 / $39.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $7.64 / $7.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.53 / $32.07 / $74.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $13.13 / $13.64
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $29.39 / $70.14
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $10.50 / $12.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.08 / $28.49 / $39.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.73 / $103.73 / $103.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.24 / $8.13 / $9.11