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Texas rates for HCPCS A4231

Infusion set for external insulin pump, needle type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.79 / $23.36 / $49.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $23.36 / $25.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.96 / $9.96 / $9.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $4.75 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $103.73
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.73 / $105.11 / $124.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.79 / $28.49 / $49.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.37 / $21.37 / $21.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.05 / $28.49 / $49.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $27.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $3.50 / $3.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $5.45