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California 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
$2.10 / $6.48 / $30.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.22 / $8.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $3.56 / $4.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.24 / $7.11
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $4.80 / $10.29
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $4.66 / $7.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $4.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $5.21
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.38 / $2.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $3.67 / $7.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.22 / $4.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.35 / $6.90
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.19 / $6.57