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Oregon 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 / $56.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $23.65 / $28.49
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
$150.00 / $175.00 / $194.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.65 / $28.38 / $36.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $9.19 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.65 / $28.49 / $50.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $28.81 / $2,250,000.00