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Idaho 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
$3.24 / $3.24 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.51 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.19 / $3.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $3.19 / $5.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.35 / $4.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.49 / $5.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $3.79 / $3.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.67 / $3.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $3.19 / $4.47