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Pennsylvania rates for HCPCS A4231

Infusion set for external insulin pump, needle type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.22 / $56.67 / $58.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $24.22 / $24.22
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.44 / $11.87 / $11.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $7.82 / $7.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.22 / $36.33 / $60.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $24.22 / $33.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.96 / $6.96 / $6.96
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $7.10