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Insulin for Administration Through DME (Insulin Pump)

Vermont rates for HCPCS J1817 · Novolog, Admelog, Humalog

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

Rates data updated July 2026.

How much does Insulin for Administration Through DME (Insulin Pump) cost?

$3.16

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $3.16 for this service. The price depends on where it is billed: about $3.16 from a physician practice, and about $3.63 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.16$3.16 to $3.24
FacilityA hospital or hospital-owned outpatient department$3.63$3.55 to $3.63

How much rates vary

Facilitymedian $4 · 10th to 90th $1 to $4Professionalmedian $3 · 10th to 90th $3 to $5
$0.05$0.2$1$5facility $4professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$5.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$3.63
Typical High
$3.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.63
United
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$1.29
Typical High
$3.63
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$10.23

Where Vermont sits

The same service costs 2.8 times more in North Carolina than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 49th of 51

$3.16

NC $8.71GA $3.16

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.