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Montana rates for HCPCS J1817

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.92 / $26.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $2.84 / $29.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $2.84 / $3.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $3.19 / $29.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $3.46 / $4.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.19