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Missouri 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 / $6.13 / $6.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.28 / $6.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.48 / $5.42 / $8.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.19 / $3.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $5.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $10.18 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $3.24 / $3.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $3.19 / $3.76