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Louisiana rates for HCPCS J2353

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.62 / $222.81 / $22,535.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $205.62 / $256.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.25 / $68.34 / $219.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.96 / $219.96 / $224.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $6,015.00 / $6,015.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $203.58 / $286.44