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West Virginia 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 / $24.22 / $24.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $24.22 / $24.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.67 / $23.63 / $31.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.75 / $118.75 / $118.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $35.13