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Washington 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
$24.22 / $54.98 / $57.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $24.22 / $41.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $103.73
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $103.73 / $124.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $226.95 / $335.72
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $9.19 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.50 / $6.50 / $6.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $6.50 / $6.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04