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Alaska rates for HCPCS J2353

Injection, octreotide, depot form for intramuscular injection, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $1,288.25 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $239.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $645.65
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $338.84 / $524.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $524.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $186.21 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $302.00 / $3,388.44