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Ambulatory Infusion Pump

		

Details: External, insulin. E0784 is the Healthcare Common Procedure Code System (HCPCS)code used to bill for this item.



Note: The estimates below are based on Medica Choice network contract rates. How were these costs calculated?




               

               


                    

                    

                    

                    

                         

                    

               

               

          

          
          
          

               

               

               

               

                    

                         

                              

                                   
Cost Key:

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                                   Higher Cost

                              

                         

                    




                    

                                        
                         

                              

                                   
                                   		 Facility     
                                   City/State                                 
                                   
                                        Average Cost Range     
                                     
                                   
                                                                                                                                                                
                              

                         
                        
                         

                         

                         

                         
                               
                                   

                                         
                                        Byram Healthcare Centers Inc
                                        Downers Grove, IL
                                        $4,065.31 - $4,349.92
                                         
                   
                                   

                             
                                   

                                         
                                        Edgepark Medical Supplies
                                        Twinsburg, OH
                                        $4,065.31 - $4,349.92
                                         
                   
                                   

                             
                                   

                                         
                                        Fairview Specialty Services Pharmacy
                                        Minneapolis, MN
                                        $4,065.31 - $4,349.92
                                         
                   
                                   

                             
                                   

                                         
                                        Minimed
                                        Northridge, CA
                                        $4,936.95 - $5,242.32
                                         
                   
                                   

                                                               
                              


                         

                    





                    

               


               

                    
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