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Wisconsin rates for HCPCS J1817

Insulin For Insulin Pump Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.28 / $6.48 / $91.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.28 / $9.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $3.99 / $3.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $4.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $4.72 / $5.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $5.99 / $8.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $12.42 / $14.11
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.24 / $7.14
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $6.38 / $6.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $4.16 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $3.24 / $4.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $65.00 / $90.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.24 / $7.14
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $6.38 / $6.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.46 / $7.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.56 / $85.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $5.21
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $4.48 / $13.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $3.19 / $3.84