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Iowa rates for HCPCS J2353

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.31 / $239.31 / $462.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $239.31 / $11,231.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.92 / $243.92 / $243.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.46 / $217.35 / $260.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.97 / $203.58 / $382.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $239.31 / $294.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.74 / $233.42 / $327.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.11 / $327.56 / $442.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $247.88 / $385.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.15 / $209.69 / $242.26
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.20 / $212.20 / $212.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.20 / $212.20 / $212.20