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Utah rates for HCPCS J1817

Insulin For Insulin Pump Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.70 / $3.70 / $3.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $3.70 / $26.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $3.62 / $5.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $5.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $2.49 / $3.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.19