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Arizona 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
$3.41 / $6.51 / $48.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.51 / $26.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $9.36 / $16.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $3.06 / $6.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.19 / $4.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $5.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.40 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.19