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Massachusetts rates for HCPCS J1817

Insulin For Insulin Pump Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $4.43 / $296.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $9.61 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $3.19 / $3.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $4.07 / $8.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.19 / $10.83
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $6.62
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.80 / $92.80 / $92.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $3.19 / $4.26
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $2.38 / $2.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $3.19 / $3.53