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Virginia rates for HCPCS J1817

Insulin for administration through DME (i.e., insulin pump) per 50 units

Facilitymedian $5 · 10th–90th $3–$720%20%10th90th$5Professionalmedian $3 · 10th–90th $3–$50%50%90th$3$0.0$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $6.76 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $4.07
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $5.01 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $5.89 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $4.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $3.16 / $3.80
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.39 / $5.01
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.39 / $3.63
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $4.07 / $5.89
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $4.07 / $5.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $2.51 / $4.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.24 / $3.24