go back

Arkansas 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 / $239.88 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $208.93 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $208.93 / $269.15