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Washington 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
$3.51 / $9.21 / $101.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.51 / $18.14
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $95.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $3.19 / $5.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $4.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $10.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.91 / $3.56
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $3.19 / $6.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $5.09 / $5.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $3.60 / $5.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $5.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $3.19 / $3.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.19