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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
$199.53 / $239.88 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $239.88 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $218.78 / $251.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $204.17 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $213.80 / $316.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $234.42 / $371.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $281.84 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $204.17 / $234.42
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17