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Virginia rates for HCPCS A4231

Infusion set for external insulin pump, needle type

Facilitymedian $28 · 10th–90th $23–$650%20%10th90th$28Professionalmedian $23 · 10th–90th $4–$240%50%10th90th$23$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $48.98 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $22.91 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $7.59
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $27.54 / $38.90
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $512.86 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $512.86 / $10,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $7.08 / $8.32