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Illinois rates for HCPCS J1817

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

Facilitymedian $6 · 10th–90th $3–$190%20%10th90th$6Professionalmedian $3 · 10th–90th $3–$50%50%90th$3$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
$3.24 / $5.62 / $11.75
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $5.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $19.50 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.37 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $5.37
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.98 / $19.95
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $3.39 / $4.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.24 / $3.39