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Wisconsin 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
$3.31 / $9.55 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $5.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $5.13 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $5.25 / $5.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.16 / $7.08
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $6.31 / $6.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $4.17 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $3.24 / $4.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $54.95 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.72 / $11.75
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $85.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $5.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $1.00 / $2.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $3.24 / $3.98