Skip to Main Content

Print | Bookmark | | Font Size: + |

July 3, 2024

Insulin Fee Schedule Reduced July 1, 2024

CGS is alerting suppliers and providers about a significant drop in the fee schedule for insulin HCPCS code J1817 (Insulin for administration through DME (i.e., insulin pump) per 50 units). The 2024 third quarter (July 1 – September 30) fee amount for J1817 is $2.539 compared to $7.595 during the second quarter.

The decrease is the result of insulin manufacturers reducing their prices in 2023 by 70-75%. Because of the lag in ASP pricing, the lower prices are reflected in the Medicare fee schedules now.

View the CMS ASP Pricing Files hereExternal Website.

spacer

26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved