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Utah 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
$23.65 / $23.65 / $23.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.08 / $23.65 / $24.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $12.64 / $60.00