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Iowa rates for HCPCS J1817

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

Facilitymedian $3 · 10th–90th $3–$50%50%10th90th$3Professionalmedian $3 · 10th–90th $3–$50%50%90th$3$0.0$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $5.75
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.07 / $4.17
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.16 / $7.94
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $5.50 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $3.24 / $7.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.09 / $10.23
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $1.00 / $2.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $3.24 / $4.17
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.24 / $3.24
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.24 / $3.47