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Arizona rates for HCPCS J2353

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.83 / $413.26 / $18,107.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.62 / $256.76 / $11,231.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.24 / $708.50 / $1,166.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.15 / $198.04 / $1,295.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.58 / $203.58 / $203.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $203.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.41 / $256.76 / $333.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.20 / $212.20 / $234.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $212.20