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Maine rates for HCPCS J1817

Insulin For Insulin Pump Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.40 / $7.40 / $7.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.19 / $5.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $5.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.40 / $7.40 / $7.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.40 / $5.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $3.19 / $5.58