| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.79 | $24.22 | $24.22 | |
BCBS
| Facility | $9.00 | $9.00 | $9.00 | |
BCBS
| Professional | $9.00 | $9.00 | $9.00 | |
Cigna
| Professional | $4.04 | $4.04 | $4.04 |
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
| Professional | $22.79 | $24.22 | $24.22 | |
BCBS
| Facility | $9.00 | $9.00 | $9.00 | |
BCBS
| Professional | $9.00 | $9.00 | $9.00 | |
Cigna
| Professional | $4.04 | $4.04 | $4.04 |