| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.65 | $23.65 | $23.65 | |
Aetna
| Professional | $23.08 | $23.65 | $24.50 | |
Cigna
| Professional | $4.04 | $4.04 | $4.04 | |
Molina
| Professional | $7.60 | $12.64 | $60.00 |
Infusion Set For External Insulin Pump Needle Type (Special Coverage Instructions Apply. See Cim: 60-14)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.65 | $23.65 | $23.65 | |
Aetna
| Professional | $23.08 | $23.65 | $24.50 | |
Cigna
| Professional | $4.04 | $4.04 | $4.04 | |
Molina
| Professional | $7.60 | $12.64 | $60.00 |