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New Hampshire rates for HCPCS J1817

Insulin For Insulin Pump Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.63 / $6.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.81 / $4.79 / $13.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.24
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 / $10.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $5.35 / $10.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $3.19 / $3.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.86 / $4.51