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Hawaii rates for HCPCS J1817

Insulin For Insulin Pump Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.94 / $16.94 / $16.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.93 / $16.93 / $16.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $3.19
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.82 / $4.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $3.19 / $4.79
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $9.63 / $12.64