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Nebraska 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 / $4.70 / $7.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $26.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.07 / $3.61 / $3.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $3.50 / $3.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $4.88 / $4.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.19 / $5.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $5.51 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $3.24 / $3.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.72 / $3.00 / $12.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $10.14 / $27.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $3.19 / $3.26