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Alaska rates for HCPCS J1817

Insulin for administration through DME (i.e., insulin pump) per 50 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.96 / $112.60 / $187.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $5.93 / $7.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $5.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $7.98
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $8.58 / $13.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $6.74 / $7.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $3.35 / $8.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.46 / $6.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $6.43