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Pennsylvania rates for HCPCS J1817

Insulin For Insulin Pump Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $7.58 / $9.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.22 / $6.45
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $3.17 / $310.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $3.46 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.19 / $4.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $5.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.77 / $3.01
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $3.08 / $298.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.27 / $7.18 / $9.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.40 / $9.85
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.19 / $4.88
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.19 / $5.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.44 / $8.44 / $9.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $8.44 / $9.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $3.19 / $4.01