go back

New York 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
$3.19 / $3.95 / $8.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $12.98
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.95 / $10.95 / $11.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $10.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.19 / $11.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $10.83
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $5.42 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $3.46 / $3.79
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.31
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.55 / $6.55 / $6.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.19 / $11.45
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.19 / $10.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $3.19 / $3.84
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $3.31 / $3.31