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Georgia rates for HCPCS J2353

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.58 / $311.93 / $23,296.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $211.80 / $311.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.58 / $325.73 / $747.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.52 / $203.58 / $219.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.58 / $203.58 / $399.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.06 / $192.06 / $203.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $203.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.22 / $141.22 / $240.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $215.79 / $260.58